Individual
OLIVIER MANFOUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7003 CIPRIANO RD, LANHAM, MD 20706-3807
(202) 597-7748
Mailing address
7003 CIPRIANO RD, LANHAM, MD 20706-3807
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/24/2025
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