Individual
MR. JOHANES MBAH TITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 MARION BARRY AVE SE, WASHINGTON, DC 20020-3011
(202) 924-8883
Mailing address
5604 WHITFIELD CHAPEL RD APT 101, LANHAM, MD 20706-2543
(202) 924-8883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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