Individual
MR. ELVIS TEBONG ANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE STE M1, WASHINGTON, DC 20020-7004
(240) 353-2854
Mailing address
5920 SOMERSET RD, RIVERDALE, MD 20737-2851
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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