Individual
JOSEPH MBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7118 COLUMBIA PARK RD, LANDOVER, MD 20785-5213
(240) 730-0110
Mailing address
7118 COLUMBIA PARK RD, LANDOVER, MD 20785-5213
(240) 730-0110
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
04/24/2025
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