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Individual

MR. VICTOR L MUKASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
13000 HARBOR CENTER DR STE 312, WOODBRIDGE, VA 22192-2847
(202) 431-2602
Mailing address
18824 BENT WILLOW CIR APT 324, GERMANTOWN, MD 20874-7323
(202) 431-2602

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/09/2018
Last updated
08/09/2018
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