Individual
JULLIET JABOSUNG MAMUFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3804 EVANS TRAIL CT, BELTSVILLE, MD 20705-3047
(240) 910-0576
Mailing address
3804 EVANS TRAIL CT, BELTSVILLE, MD 20705-3047
(240) 910-0576
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA20223846
MD
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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