Individual
OMRI FORKEH NJOKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11103 ELON CT, BOWIE, MD 20720-3505
(240) 906-1581
Mailing address
11103 ELON CT, BOWIE, MD 20720-3505
(240) 906-1581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1447556600
DC
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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