Individual
ADECK MUDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 ALLISON ST APT 1, MOUNT RAINIER, MD 20712
(240) 764-9591
Mailing address
2701 ALLISON ST APT 1, MOUNT RAINIER, MD 20712-1329
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13590
DC
Other
Enumeration date
04/18/2018
Last updated
08/09/2018
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