Individual
SIMON NWATI ACHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10718 LIVINGSTON RD, FORT WASHINGTON, MD 20744-4942
(612) 867-1566
Mailing address
10718 LIVINGSTON RD, FORT WASHINGTON, MD 20744-4942
(612) 867-1566
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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