Provider Demographics
NPI:1053657759
Name:MATE, PASCALINE KUTNJEM
Entity Type:Individual
Prefix:
First Name:PASCALINE
Middle Name:KUTNJEM
Last Name:MATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 JOYCETON WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1456
Mailing Address - Country:US
Mailing Address - Phone:301-765-4602
Mailing Address - Fax:
Practice Address - Street 1:81 JOYCETON WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1456
Practice Address - Country:US
Practice Address - Phone:301-765-4602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide