Individual
BEZANKENG EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7826 EASTERN AVE NW, WASHINGTON, DC 20012-1324
(202) 722-1700
Mailing address
9630 MILESTONE WAY APT 3127, COLLEGE PARK, MD 20740-4349
(240) 351-0063
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/31/2023
Last updated
06/01/2023
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