Organization
ISOBA HEALTHCARE
Active
Other names
ISOBA Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
GRACLYN ABOSI NP (PMHNP-BC, CRNP)
(301) 821-0139
Entity
Organization
Contact information
Practice address
8117 HARFORD RD STE 2, PARKVILLE, MD 21234-5792
(301) 821-0139
Mailing address
3035 BUTTON BUSH LN, LAUREL, MD 20724-2948
(301) 821-0139
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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