Individual
BLANCHE MOKOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6192 OXON HILL RD STE 507, OXON HILL, MD 20745-3142
(301) 839-0800
(301) 839-8088
Mailing address
11303 SPRINGPARK COURT, GLENN DALE, MD 20769
(301) 728-3783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R229094
MD
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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