Individual
MR. BERI- TAH KPUMBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8735 CONTEE RD, #201, LAUREL, MD 20708-1915
(240) 988-7476
Mailing address
8735 CONTEE RD, #201, LAUREL, MD 20708-1915
(240) 988-7476
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
4
MD
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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