# BERNADETTE MAKULA KPAKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184161077
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376J00000X | Homemaker | — | OH | Yes |

## Other

- **Enumeration date:** 01/30/2017
- **Last updated:** 01/30/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0200408 | — | OH |