Individual
BERTHA MAKOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 N CAPITOL ST NW APT 406, WASHINGTON, DC 20002-7568
(240) 603-5455
Mailing address
1140 N CAPITOL ST NW APT 406, WASHINGTON, DC 20002-7568
(240) 603-5455
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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