Individual
MS. MODESTER MAKUKULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 W SOUTH ST, FREDERICK, MD 21701-6381
(240) 765-8963
Mailing address
480 W SOUTH ST, FREDERICK, MD 21701-6381
(240) 765-8963
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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