Individual
MR. MICHAEL GREGORY MUKABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7410 GEORGE AVE, NORTH WEST, DC 20012
(202) 558-7747
Mailing address
790 FAIRVIEW AVE APT 315, TAKOMA PARK, MD 20912-5957
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
62407
MD
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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