DIAMOND MAXEBONG

WASHINGTON, DC
NPI1154727360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-11-15
Last Update Date2014-11-15
Business Address
-- DIAMOND MAXEBONG
1629 K ST NW SUITE 300
WASHINGTON, DC 20006-1602
Phone number: 877-693-2848
Mailing Address
-- DIAMOND MAXEBONG
1629 K ST NW SUITE 300
WASHINGTON, DC 20006-1602
Phone number: