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NPI Code Detail

MEDICARE: FELIX MUDOH I

MEDICARE: FELIX MUDOH I
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 Aide

General Provider Information

NPI Number : 1851729339
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELIX MUDOH I
Provider Business Mailing Address
First Line : 826 RAY RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-5000
Country : US
Telephone Number : 314-898-3202
Fax Number :
Provider Business Practice Location Address
First Line : 826 RAY RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-5000
Country : US
Telephone Number : 314-898-3202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2013
Last Update Date : 10/22/2013

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Directions to “ FELIX MUDOH I ” 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.

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