Individual
MRS. LUCY CHANSA MUKUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 CONNECTICUT AVE NW STE 1, WASHINGTON, DC 20008-4500
(240) 205-9408
Mailing address
12217 VILLAGE SQUARE TER APT 401, ROCKVILLE, MD 20852-1922
(240) 205-9408
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
A00185476
MD
374700000X
Technician
MT0155913
MD
376K00000X
Nurse's Aide
Primary
A00185476
MD
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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