Individual
ISIDORE NDEP AYUKMGBENYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14010 LAKE MEADOWS DR, BOWIE, MD 20720-3812
(240) 398-2898
Mailing address
14010 LAKE MEADOWS DR, BOWIE, MD 20720-3812
(240) 398-2898
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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