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Theckla Mafita Mpigahodi

Nurse's Aide in Bladensburg, MD. Individual provider (NPI-1).

NPI number1356908032
StatusActive
Last updated in NPPESMay 29, 2019

Details

NPI
1356908032
Entity type
Individual (NPI-1)
Name
Theckla Mafita Mpigahodi
Sex
Female
Sole proprietor
No
Enumeration date
May 29, 2019
Last updated
May 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideA00050939MDYes

Practice location

5201 Newton St Apt 201
Bladensburg, MD 20710-2336

Phone 240-640-2960

Mailing address

5201 Newton St Apt 201
Bladensburg, MD 20710-2336

Phone 240-640-2960

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