Individual
MS. KEVINE RAISSA MAKOUGANG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 METZEROTT RD APT 1727, ADELPHI, MD 20783-3452
(267) 339-8410
Mailing address
1836 METZEROTT RD APT 1727, ADELPHI, MD 20783-3452
(267) 339-8410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
376K00000X
Nurse's Aide
—
MD
Other
Enumeration date
02/14/2022
Last updated
07/27/2023
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