Individual
CRYDEGE MAKOUMBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
343 N WINOOSKI AVE UNIT 15, BURLINGTON, VT 05401-3956
(802) 881-6740
Mailing address
343 N WINOOSKI AVE UNIT 15, BURLINGTON, VT 05401-3956
(802) 881-6740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0067250
VT
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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