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Individual

SIMON ACHU ASOBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 489-0615
Mailing address
3303 WATERFORD MILL RD, BOWIE, MD 20721-3280
(302) 508-9174

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
04/10/2023
Last updated
06/15/2023
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