Provider Demographics
NPI:1144919440
Name:MOKOSO, HANNAH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MOKOSO
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 1:6118 BREEZEWOOD CT APT 203
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1188
Mailing Address - Country:US
Mailing Address - Phone:202-823-6165
Mailing Address - Fax:
Practice Address - Street 1:6118 BREEZEWOOD COURT
Practice Address - Street 2:APT 203
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2077
Practice Address - Country:US
Practice Address - Phone:202-823-6165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator