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“Community Health Worker” (Glenn Dale, MD)

Location: Glenn Dale, MD
Taxonomy: Community Health Worker.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1013892074 — DERICK T MUKOM
Practice Location Address:
6911 FOUNTAIN PARK DR
GLENN DALE MD
20769-9484
Practice Phone: 832-988-8970
1518653294 — NYETO TIKU
Practice Location Address:
7200 OAKLEY RD
GLENN DALE MD
20769-9436
Practice Phone: 240-413-9268
1922807999 — DESMOND BAMBOT
Practice Location Address:
5808 SIR GALAHAD RD
GLENN DALE MD
20769-8923
Practice Phone: 571-835-1505
1922864289 — EDWIN AMBE AMABO
Practice Location Address:
10712 MARIETTA ST
GLENN DALE MD
20769-9405
Practice Phone: 301-701-0222

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