Individual
CHICK S MUKOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8090
Mailing address
5404 5TH ST NW APT 1, WASHINGTON, DC 20011-3182
(202) 705-4827
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA7413
DC
Other
Enumeration date
01/25/2012
Last updated
03/29/2018
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