Individual
DONALD MOUENGUE MIKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 UNIVERSITY BLVD W APT 902, WHEATON, MD 20902-3309
(240) 938-3678
Mailing address
1131 UNIVERSITY BLVD W APT 902, WHEATON, MD 20902-3309
(240) 938-3678
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00161705
MD
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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