Individual
KARENT EJELLE KOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 MEDICAL CENTER DR, UPPER MARLBORO, MD 20774-3701
(240) 334-4394
Mailing address
3513 SHARONWOOD RD APT 3B, LAUREL, MD 20724-5900
(240) 927-9153
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
04/01/2025
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