Provider Demographics
NPI:1750187324
Name:TEMOH, LINZY EKOM
Entity type:Individual
Prefix:
First Name:LINZY
Middle Name:EKOM
Last Name:TEMOH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 ROCKY TRAIL WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3977
Mailing Address - Country:US
Mailing Address - Phone:301-549-8377
Mailing Address - Fax:
Practice Address - Street 1:5800 ROCKY TRAIL WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3977
Practice Address - Country:US
Practice Address - Phone:301-549-8377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator