Individual
CLINTON S AMUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 BUCHANAN ST APT 202, MOUNT RAINIER, MD 20712-1122
(240) 736-0103
Mailing address
3333 BUCHANAN ST APT 202, MOUNT RAINIER, MD 20712-1122
(240) 736-0103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA200001958
—
DC
Enumeration date
07/25/2022
Last updated
07/25/2022
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