Individual
MARY YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4714 BASILONE LN, JEFFERSON, MD 21755-8224
(301) 503-6051
Mailing address
4714 BASILONE LN, JEFFERSON, MD 21755-8224
(301) 503-6051
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN229677
MD
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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