Individual
CONSTANCE M ACHU MOKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13002 LEDO CREEK TER, BELTSVILLE, MD 20705-5105
(240) 432-5538
Mailing address
13002 LEDO CREEK TER, BELTSVILLE, MD 20705-5105
(240) 432-5538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1004442
DC
363LF0000X
Family Nurse Practitioner
R164302
MD
Other
Enumeration date
03/28/2020
Last updated
08/15/2023
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