Individual
BOUCHENG EIPIKINHO LUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 ERIE ST APT 101, ADELPHI, MD 20783-2330
(301) 254-6455
Mailing address
1911 ERIE ST APT 101, ADELPHI, MD 20783-2330
(301) 254-6455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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