Individual
TIMAH T NDUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 610-9562
Mailing address
2932 GALESHEAD DR, UPPER MARLBORO, MD 20774-8055
(120) 246-8115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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