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Individual

MARY IBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 MIMOSA LN, SILVER SPRING, MD 20904-1452
(516) 503-1214
Mailing address
1401 MIMOSA LN, SILVER SPRING, MD 20904-1452

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12404
DC

Other

Enumeration date
09/20/2016
Last updated
09/20/2016
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