Individual
MAURICE BANGMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7965 RIGGS RD APT 7, HYATTSVILLE, MD 20783-4502
(240) 241-3207
Mailing address
7965 RIGGS RD APT 7, HYATTSVILLE, MD 20783-4502
(240) 241-3207
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15274
DC
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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