Individual
LIONNEL SIMO GUEGUEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5311 85TH AVE APT 12, NEW CARROLLTON, MD 20784-3225
(202) 381-6006
Mailing address
5311 85TH AVE APT 12, NEW CARROLLTON, MD 20784-3225
(202) 381-6006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
08/15/2025
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