Individual
PATRICE MBENKOM FOKOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8270 MINER ST, GREENBELT, MD 20770-4401
(130) 126-7104
Mailing address
8270 MINER ST, GREENBELT, MD 20770-4401
(130) 126-7104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/16/2024
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