Individual
KENGNE CLOVIS KONGCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7012 MARLBORO PIKE, FORESTVILLE, MD 20747-3242
(301) 736-8683
Mailing address
10305 ARETHUSA LN, UPPER MARLBORO, MD 20772-4380
(240) 467-1328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25849
MD
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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