Individual
CLARISSE MAFOGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9510 NORDIC DR, LANHAM, MD 20706-3630
(240) 413-8273
Mailing address
9510 NORDIC DR, LANHAM, MD 20706-3630
(240) 413-8273
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000812967
DC
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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