Individual
PHILIMON ASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9963 GOOD LUCK RD APT 101, LANHAM, MD 20706-3274
(202) 848-8522
Mailing address
9963 GOOD LUCK RD APT 101, LANHAM, MD 20706-3274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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