Individual
GRACE OMOWUMI OGUNBODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5628 PRESCOTT CT, CAPITOL HEIGHTS, MD 20743-3048
(240) 890-6852
Mailing address
5628 PRESCOTT CT, CAPITOL HEIGHTS, MD 20743-3048
(240) 890-6852
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004709
DC
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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