Individual
GRACE NAYAH MOMFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Mailing address
3303 DODGE PARK RD, HYATTSVILLE, MD 20785-2106
(614) 256-4087
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000813301
DC
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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