Individual
ATABONGOJONG GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6426 TIFFANY CT, LANHAM, MD 20706-3541
(301) 543-7252
Mailing address
6426 TIFFANY CT, LANHAM, MD 20706-3541
(301) 543-7252
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003335
DC
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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