Individual
EBOB EBAN MILDRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 FAIRVIEW AVE APT 301, TAKOMA PARK, MD 20912-5947
(404) 819-0052
Mailing address
780 FAIRVIEW AVE APT 301, TAKOMA PARK, MD 20912-5947
(404) 819-0052
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
05/27/2021
Last updated
11/01/2024
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