Individual
VALENTINO MOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
6805 REAL PRINCESS LN, WOODLAWN, MD 21207-4493
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00051507
MD
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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