Individual
MOUBARAK MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1835 ADDISON RD S, DISTRICT HEIGHTS, MD 20747-1572
(240) 643-9844
Mailing address
1835 ADDISON RD S, DISTRICT HEIGHTS, MD 20747-1572
(240) 643-9844
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA20214120
MD
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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