Individual
NADESH MUKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
Mailing address
5422 54TH AVE APT 6, RIVERDALE, MD 20737-2324
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
HHA14583
DC
Other
Enumeration date
08/06/2019
Last updated
04/24/2023
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