Individual
MR. KEVIN ACHUO ANTEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13006 OLD STAGE COACH RD, LAUREL, MD 20708-1628
(240) 716-8084
Mailing address
13006 OLD STAGE COACH RD, LAUREL, MD 20708-1628
(240) 716-8084
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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