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NPI Code Detail

MEDICARE: QUEENTER MUKWE

MEDICARE: QUEENTER MUKWE
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
1251E00000XHome Health Agency276776335DC
2374U00000XHome Health AideHHA15621DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760098230
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUEENTER MUKWE
Provider Business Mailing Address
First Line : 1707 ARCOLA AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-2813
Country : US
Telephone Number : 240-970-2555
Fax Number :
Provider Business Practice Location Address
First Line : 1707 ARCOLA AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-2813
Country : US
Telephone Number : 240-970-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2020
Last Update Date : 04/30/2026

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Directions to “ QUEENTER MUKWE ” Practice Location

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