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NPI Code Detail

MEDICARE: EDWIGE MAFO

MEDICARE:   EDWIGE  MAFO
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
1374U00000XHome Health AideHHA12575DC

General Provider Information

NPI Number : 1831633551
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWIGE MAFO
Provider Business Mailing Address
First Line : 8806 PINEY BRANCH ROAD
Second Line : APT 1608
City : SILVER SPRING
State : MD
Zip : 20903
Country : US
Telephone Number : 240-533-6463
Fax Number :
Provider Business Practice Location Address
First Line : 8806 PINEY BRANCH ROAD
Second Line : APT 1608
City : SILVER SPRING
State : MD
Zip : 20903
Country : US
Telephone Number : 240-533-6463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2016
Last Update Date : 12/14/2016

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Directions to “ EDWIGE MAFO ” Practice Location

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