Individual
GORDON MOFOR ACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-4933
(202) 318-0179
Mailing address
4509 DOCTOR BEANS LEGACY CIR, BOWIE, MD 20720-6385
(240) 486-1941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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