Individual
ISAAC MESUMBE KOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7803 WENDOVER AVE, PARKVILLE, MD 21234-5417
(240) 478-0009
Mailing address
7803 WENDOVER AVE, PARKVILLE, MD 21234-5417
(240) 478-0009
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/02/2012
Last updated
07/18/2023
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