Kevine Raissa Makougang

NPI # 

Practice Address:

1836 Metzerott Rd Apt 1727

Adelphi, MD, 20783-3452

Practice Phone:

267-339-8410

License State:

MD

Taxonomy Grouping:

Nursing Service Related Providers

Taxonomy Classification:

Nurse's Aide

Taxonomy Code:

376K00000X

Deactivation Date:

2023-06-26T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2023-07-11T00:00:00.000Z