CLARISSE MASENGO MUTOMBO

HUTTO, TX
NPI1053693127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies171W00000X Contractor
372500000X Chore Provider
372600000X Adult Companion
3747A0650X Technician, Attendant Care Provider
3747P1801X Technician, Personal Care Attendant
374K00000X 
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
-- CLARISSE MASENGO MUTOMBO
150 KLATTENHOFF LN 3204
HUTTO, TX 78634-4601
Phone number: 917-355-3458
Mailing Address
-- CLARISSE MASENGO MUTOMBO
150 KLATTENHOFF LN 3204
HUTTO, TX 78634-4601
Phone number: 917-355-3458
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