Individual
MADELEINE NICOLE MOUDJONGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 RIDGECREST DR, SUITLAND, MD 20746-3749
(240) 544-8734
Mailing address
4301 RIDGECREST DR, SUITLAND, MD 20746-3749
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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