Individual
MRS. BOSE C HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4283 58TH AVE APT A, BLADENSBURG, MD 20710-1914
(240) 350-4572
Mailing address
4283 58TH AVE APT A, BLADENSBURG, MD 20710-1914
(240) 350-4572
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374UOOOOOX
DC
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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