Individual
SAMMY KINGS AJEBEWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1813 MOUNT PISGAH LN, SILVER SPRING, MD 20903-2156
(240) 393-3156
Mailing address
1813 MOUNT PISGAH LN, SILVER SPRING, MD 20903-2156
(240) 393-3156
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/30/2012
Last updated
07/07/2023
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