Individual
MR. MIKE BIOUMLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12401 BRICKYARD BLVD APT 2039, BELTSVILLE, MD 20705-1623
(202) 560-3558
Mailing address
12401 BRICKYARD BLVD APT 2039, BELTSVILLE, MD 20705-1623
(202) 560-3558
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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