Individual
DANIEL CYRIL BOSSOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
(202) 388-9209
Mailing address
7935 MONARCH ST, WHITE PLAINS, MD 20695-3449
(301) 456-0782
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
06/14/2023
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