Individual
MAKING MPAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16305 GALES CT, LAUREL, MD 20707-2724
(301) 404-0726
Mailing address
16305 GALES CT, LAUREL, MD 20707-2724
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R231545
MD
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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