Individual
ALEX B KENGNE TATSINKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 JO DR, UPPER MARLBORO, MD 20774-5775
(240) 421-6680
Mailing address
309 JO DR, UPPER MARLBORO, MD 20774-5775
(240) 421-6680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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