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Individual

MARQUISE MENGUE BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
GNA, MT

Contact information

Practice address
1652 DARLEY AVE, BALTIMORE, MD 21213-1319
(443) 762-1052
Mailing address
1652 DARLEY AVE, BALTIMORE, MD 21213-1319
(443) 762-1052

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MT0104855
MD

Other

Enumeration date
11/28/2017
Last updated
11/28/2017
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