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CLOVIS M MUDOH
NPI 1700545407
Home Health Aide in Lanham, MD

Active since December 10, 2021
9601 GOOD LUCK RD, LANHAM, MD 20706(240) 877-5084 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clovis M Mudoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVIS M MUDOH (NPI 1700545407) is an individual home health aide in Lanham, Maryland and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1700545407
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameCLOVIS M MUDOH
Location Address9601 GOOD LUCK RDLanham, MD 20706-3637
Mailing Address9601 Good Luck RdLanham, MD 20706-3637 · (240) 877-5084
Phone(240) 877-5084
Sole ProprietorNo
Enumeration DateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1700545407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
9601 GOOD LUCK RD, Lanham, MD 20706
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHICK TINGEN
Home Health Aide
9601 GOOD LUCK RD
LANHAM, MD 20706
Prince George's County (240) 709-0512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clovis M Mudoh's NPI number?

The NPI number for Clovis M Mudoh is 1700545407. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Clovis M Mudoh located?

Clovis M Mudoh practices at 9601 Good Luck Rd, Lanham, MD 20706. The listed phone number is (240) 877-5084.

What is Clovis M Mudoh's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Clovis M Mudoh was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.