Individual
MOTABO ANDREAS MOKUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7104 RIGGS ROAD CT, HYATTSVILLE, MD 20783-2950
(240) 839-8090
Mailing address
7104 RIGGS ROAD CT, HYATTSVILLE, MD 20783-2950
(240) 839-8090
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNA20211395
—
MD
Enumeration date
06/22/2021
Last updated
06/22/2021
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