NPI 1194302646

Clarisse Mafogang

Practitioner Nurse's Aide Lanham, MD

Practice location

Address: 9510 Nordic Dr, Lanham, MD 20706-3630
Phone: (240) 413-8273

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence NA0000812967 (DC)

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Registry record

NPI: 1194302646
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2021
Record last updated: 29 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.