Individual
MARY KABUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 STONEWAY PL, NOTTINGHAM, MD 21236-4809
(443) 653-7837
Mailing address
54 STONEWAY PL, NOTTINGHAM, MD 21236-4809
(443) 653-7837
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
RO736
MD
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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