Individual provider · Type 1 NPI

Theodora Mukum

Home Health Aide · Washington, DC

NPI number 1114649480 Active

Practice location

2512 24th St NE
Washington, DC 20018-2126

Mailing address

11009 Bennington Dr
Upper Marlboro, MD 20774-1410

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000XHHA200001231 (DC)

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1114649480

Theodora Mukum's National Provider Identifier is 1114649480, issued on Sep 14, 2022. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Washington, DC. The record was last updated on Sep 14, 2022.