Individual
GRACE NGEBURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13818 CASTLE BLVD. APT# 203, SILVER SPRING, MD 20904-7940
(256) 348-0801
Mailing address
13818 CASTLE BLVD APT 203, SILVER SPRING, MD 20904-7340
(256) 348-0801
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA8600
—
DC
Enumeration date
07/05/2017
Last updated
07/28/2017
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