Individual
IRMA GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6495 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3245
(240) 825-3153
Mailing address
6322 DUCKETTS LN, ELKRIDGE, MD 21075-6103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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