Individual
MALCOLM FRU SOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9969 GOOD LUCK RD APT 204, LANHAM, MD 20706-3277
(202) 415-4901
Mailing address
9969 GOOD LUCK RD APT 204, LANHAM, MD 20706-3277
(202) 415-4901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/01/2024
Last updated
07/14/2026
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