Individual
LUCY MUODUMOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6516 HOMESTAKE DR S, BOWIE, MD 20720-4627
(845) 309-6948
Mailing address
6516 HOMESTAKE DR S, BOWIE, MD 20720-4627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500015649
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/21/2016
Last updated
02/20/2024
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