Individual
BRANDON V MUKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3115 QUEENS CHAPEL RD # 3, MOUNT RAINIER, MD 20712-1157
(202) 855-4826
Mailing address
3115 QUEENS CHAPEL RD # 3, MOUNT RAINIER, MD 20712-1157
(202) 855-4826
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13995
MD
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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