Individual
KELLY ACHOH MUKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(202) 506-1209
Mailing address
8151 MANDAN TER, GREENBELT, MD 20770-2643
(240) 510-7745
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12839
DC
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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