Individual
DE BOSMAN BOSAMBE LOBBE JUNIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2370 VERMONT AVE, HYATTSVILLE, MD 20785-3360
(956) 203-3108
Mailing address
2370 VERMONT AVE, HYATTSVILLE, MD 20785-3360
(956) 203-3108
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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