Individual
EFON MAGLINE MUDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 52ND ST NE, WASHINGTON, DC 20019-5546
(240) 615-6642
Mailing address
913 52TH STREET, NE, WASHINGTON, DC 20019
(240) 615-6642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA11380
DC
Other
Enumeration date
07/13/2015
Last updated
11/07/2024
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