Individual
GRACE E YUDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1100 NEW JERSEY AVE SE STE 845, WASHINGTON, DC 20003-3338
(866) 617-3781
Mailing address
100 JEFFERSON ST NW, WASHINGTON, DC 20011-6628
(202) 640-8197
(202) 635-5780
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1005854
DC
374U00000X
Home Health Aide
LPN1005854
DC
Other
Enumeration date
07/26/2013
Last updated
08/10/2023
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