Provider Demographics
NPI:1992444871
Name:MAASO, SEGUJJA
Entity type:Individual
Prefix:
First Name:SEGUJJA
Middle Name:
Last Name:MAASO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3335 MARLENE MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1793
Mailing Address - Country:US
Mailing Address - Phone:303-524-4825
Mailing Address - Fax:
Practice Address - Street 1:3335 MARLENE MEADOW WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1793
Practice Address - Country:US
Practice Address - Phone:303-524-4825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care