Clarisse Masengo Mutombo

NPI #1053693127 in Hutto, Texas

Provider Information

NPI Number: 1053693127
Entity Type: Individual
Name: Clarisse Masengo Mutombo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Sep 15, 2011
Last Updated: Sep 15, 2011

Practice Location

Address: 150 KLATTENHOFF LN
Address 2: 3204
City: Hutto
State: Texas
ZIP Code: 78634-4601
Phone: (917) 355-3458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X
Chore Provider	372500000X
Adult Companion	372600000X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Religious Nonmedical Practitioner	374K00000X
Home Health Aide	374U00000X	Primary

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