Individual
CALEBEN AMECK WENONG EPSE TAYIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 LAKEHOUSE RD APT 25, CALVERTON, MD 20705-3347
(240) 413-4412
Mailing address
3915 LAKEHOUSE RD APT 25, CALVERTON, MD 20705-3347
(240) 413-4412
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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