Individual
KOMLANVI FELY AGOPOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(202) 894-6811
Mailing address
12913 SUGARLOAF CHAPEL DR, CLARKSBURG, MD 20871-4466
(240) 581-2320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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