Individual
THECKLA MAFITA MPIGAHODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 NEWTON ST APT 201, BLADENSBURG, MD 20710-2336
(240) 640-2960
Mailing address
5201 NEWTON ST APT 201, BLADENSBURG, MD 20710-2336
(240) 640-2960
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00050939
MD
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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