Individual
CLOVISE MUCHOP ATUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10037 LOCUST ST, GLENN DALE, MD 20769-9270
(240) 936-3205
Mailing address
10037 LOCUST ST, GLENN DALE, MD 20769-9270
(240) 936-3205
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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