Individual
ELTON BARREL KAMWA SIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2526 PENNSYLVAINA AVE SE, SUITE C, WASHINGTON, DC 20020-6729
(202) 748-5647
Mailing address
10101 GREENSPIRE WAY, MITCHELLVILLE, MD 20721-2714
(240) 463-5244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
10/21/2024
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