Individual
COLLINS MOBAN MUKAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8709 63RD AVE, BERWYN HEIGHTS, MD 20740-2763
(240) 920-4504
Mailing address
8709 63RD AVE, BERWYN HEIGHTS, MD 20740-2763
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
01/06/2021
Last updated
08/16/2024
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