Individual
OLIVE MOUAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 SNOWDRIFT DOWNS, LAUREL, MD 20723-5873
(240) 723-6907
Mailing address
10100 SNOWDRIFT DOWNS, LAUREL, MD 20723-5873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R180144
MD
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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