Individual
MS. VIVIAN MUKEP MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7221 HANOVER PARKWAY, GREENBELT, MD 20770
(301) 439-4422
Mailing address
19645 CRYSTAL ROCK DRIVE APT 23, GERMANTOWN, MD 20874
(240) 264-7210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209036
MD
Other
Enumeration date
07/15/2021
Last updated
08/05/2021
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