Individual
MIRENE E MOUAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11215 OAK LEAF DR, SILVER SPRING, MD 20901-1317
(714) 305-5687
Mailing address
11215 OAK LEAF DR, SILVER SPRING, MD 20901-1317
(714) 305-5687
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277652019
—
DC
Enumeration date
10/05/2020
Last updated
10/05/2020
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