Individual
GRACE SEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 SAINT GEORGES WAY, BOWIE, MD 20721-2299
(202) 271-1860
Mailing address
1801 SAINT GEORGES WAY, BOWIE, MD 20721-2299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
R2873
MD
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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