Individual
PAUL BUSSE EJOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 MARION BARRY AVE SE # 1628, WASHINGTON, DC 20020-3011
(202) 866-7505
Mailing address
12910 CLOVERLY DR, UPPER MARLBORO, MD 20774-1902
(948) 202-1340
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
MD
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
02/11/2025
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