Individual
AGBORTABE ENEKE BESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9105 25TH AVE, ADELPHI, MD 20783-1509
(301) 675-6417
Mailing address
9105 25TH AVE, ADELPHI, MD 20783-1509
(301) 675-6417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
172V00000X
MD
Other
Enumeration date
04/13/2023
Last updated
10/20/2023
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