Individual
PRISCILLIA N MOGHALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 EASTERN AVE NW, WASHINGTON, DC 20012-2165
(202) 541-9844
Mailing address
3328 CASTLE RIDGE CIR, SILVER SPRING, MD 20904-7321
(301) 256-6368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP43275
MD
164W00000X
Licensed Practical Nurse
Primary
LPN1004120
DC
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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