Individual
GRACE KABOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4508 BROAD BLVD, BELTSVILLE, MD 20705-1515
(817) 681-6506
Mailing address
4508 BROAD BLVD, BELTSVILLE, MD 20705-1515
(817) 681-6506
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14422
DC
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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