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Individual

CORINE MOUGOUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10111 COLESVILLE RD STE 107, SILVER SPRING, MD 20901-2427
(610) 740-4216
Mailing address
10038 JEANES ST FL 2, PHILADELPHIA, PA 19116-3670

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R242884
MD
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
R242884
MD
163WH0200X
Home Health Registered Nurse
R242884
MD
163WH1000X
Hospice Registered Nurse
R242884
MD
163WM0705X
Medical-Surgical Registered Nurse
R242884
MD

Other

Enumeration date
01/20/2021
Last updated
01/20/2021
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