Individual
AGBORTOKO GRACE MBENGETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11700 OLD COLUMBIA PIKE APT 1908, SILVER SPRING, MD 20904-2558
(346) 242-9560
Mailing address
11700 OLD COLUMBIA PIKE APT 1908, SILVER SPRING, MD 20904-2558
(346) 242-9560
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004124
DC
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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