Tamajung Abongwa Stanley
Case Manager/Care Coordinator in Greenbelt, MD. Individual provider (NPI-1).
NPI number1255108106
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1255108106
- Entity type
- Individual (NPI-1)
- Name
- Tamajung Abongwa Stanley
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 10, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
8681 Greenbelt Rd Apt 102Greenbelt, MD 20770-2433
Phone 240-714-2739
Mailing address
8681 Greenbelt Rd Apt 102Greenbelt, MD 20770-2433
Phone 240-714-2739
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