Most Relevant Information
Provider Data
| NPI Number: | 1003525981 |
| Provider Name: | JOHN MUGYABUSOAUGUSTINO KAIZA |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | 200002227 |
Most Important Dates
| Enumeration Date: | 11/18/2022 |
| Last Updated: | 11/18/2022 |
Provider Practice Location
630 SHERIDAN ST APT 213
HYATTSVILLE
MD
207833218
Practice Location Phone/Fax
| Phone: | 2029403601 |
| Fax: |
Provider Mailing Location
630 SHERIDAN ST APT 213
HYATTSVILLE
MD
207833218
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |