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NPI Code Detail

MEDICARE: PATRICE A MULUH

MEDICARE:   PATRICE A  MULUH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2374U00000XHome Health Aide

General Provider Information

NPI Number : 1225610975
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE A MULUH
Provider Business Mailing Address
First Line : 3408 DODGE PARK RD APT T3
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2019
Country : US
Telephone Number : 240-654-7051
Fax Number :
Provider Business Practice Location Address
First Line : 3408 DODGE PARK RD APT T3
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2019
Country : US
Telephone Number : 240-654-7051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2021
Last Update Date : 11/07/2024

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Directions to “ PATRICE A MULUH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.