Individual
BERNADETTE MOUSSONGA BAKINEN EPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3261 QUEENSTOWN DR, APT. 202, MOUNT RAINIER, MD 20712-1075
(301) 768-0493
Mailing address
3261 QUEENSTOWN DR, APT. 202, MOUNT RAINIER, MD 20712-1075
(301) 768-0493
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12233
DC
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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