Diissirama Mugue
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1861908592
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1861908592
- Entity type
- Individual (NPI-1)
- Name
- Diissirama Mugue
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2017
- Certification date
- Jan 3, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 374U00000X | Home Health Aide | HHA13253 | DC |
Practice location
4614 Livingston Rd Se Apt 104Washington, DC 20032-3139
Phone 240-505-5044
Mailing address
1600 Yuhas CtUpper Marlboro, MD 20774-5620
Phone 240-505-5044
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