Individual
EMMANUEL MOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2508 QUEENS CHAPEL RD #103, HYATTSVILLE, MD 20782
(202) 751-1405
Mailing address
2508 QUEENS CHAPEL RD APT 103, HYATTSVILLE, MD 20782-3648
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11132
DC
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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