Individual
LIONEL TABI AYUK ETCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
12208 QUINTETTE LN, BOWIE, MD 20720-4364
(240) 838-1810
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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