Individual
BERNARD MULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9333 STEEPLE CT, LAUREL, MD 20723-5820
(262) 753-3116
Mailing address
9333 STEEPLE CT, LAUREL, MD 20723-5820
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M4540808900206
DRIVING LICENSE
WI
Enumeration date
10/09/2024
Last updated
10/09/2024
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