Individual
GRACE KUTUBU KOROMAH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 LUNDY DR, LANHAM, MD 20706-2348
(240) 758-2930
Mailing address
5803 LUNDY DR, LANHAM, MD 20706-2348
(240) 758-2930
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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