Individual
MARIE THERESE DIRABOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36198 GALLATIN STREET APT932, HYATTSVILLE, MD 20782
(240) 938-7746
Mailing address
36198 GALLATIN STREET APT932, HYATTSVILLE, MD 20782
(240) 938-7746
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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