Individual provider · NPI-1

Belidus Gweh Bonekeh

Community/Behavioral Health · Beltsville, MD

NPI number1356046023
StatusActive
Last updated in NPPESApr 3, 2023

Details

NPI
1356046023
Entity type
Individual (NPI-1)
Name
Belidus Gweh Bonekeh
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 3, 2023
Certification date
Apr 3, 2023
Last updated
Apr 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

11244 Evans Trl
Beltsville, MD 20705-3924

Phone 240-688-3647

Mailing address

11244 Evans Trl
Beltsville, MD 20705-3924

Phone 240-688-3647

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