SAMGELLA EDWARD BANISOBA

BOWIE, MD
NPI1386452803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-12-30
Last Update Date2024-12-30
Business Address
Mr. SAMGELLA EDWARD BANISOBA
4512 DOCTOR BEANS LEGACY CIR
BOWIE, MD 20720-6384
Phone number: 240-267-3748
Mailing Address
Mr. SAMGELLA EDWARD BANISOBA
1771 ELTON RD # 1771
SILVER SPRING, MD 20903-1757
Phone number: 240-267-3748
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