Individual
LAURA MUKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
658 HARRY S TRUMAN DR, UPPER MARLBORO, MD 20774-2069
(240) 714-6834
Mailing address
658 HARRY S TRUMAN DR, UPPER MARLBORO, MD 20774-2069
(240) 714-6834
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277286827
—
DC
Enumeration date
09/10/2020
Last updated
09/10/2020
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