Individual
ENGONWEI MUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 HAMILTON ST, HYATTSVILLE, MD 20782-3945
(202) 386-8251
Mailing address
3610 HAMILTON ST, HYATTSVILLE, MD 20782-3945
(202) 386-8251
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14513
DC
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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