Individual
ALBERT EBOUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
1905 ERIE ST #201, HYATTSVILLE, MD 20783
(240) 470-9687
Mailing address
1905 ERIE ST, HYATTSVILLE, MD 20783-2324
(240) 470-9687
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10143
DC
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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