Individual
CLOVIS M MUDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9601 GOOD LUCK RD, LANHAM, MD 20706-3637
(240) 877-5084
Mailing address
9601 GOOD LUCK RD, LANHAM, MD 20706-3637
(240) 877-5084
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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