BONIFACE LEBOG

BOWIE, MD
NPI1356029003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2023-07-11
Last Update Date2023-07-21
Business Address
BONIFACE LEBOG
2508 BROOKE GROVE RD
BOWIE, MD 20721-1885
Phone number: 202-894-6811
Mailing Address
BONIFACE LEBOG
2508 BROOKE GROVE RD
BOWIE, MD 20721-1885
Phone number: 240-886-7978
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