Individual
MARY OBASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9954 ELM ST, LANHAM, MD 20706-4712
(202) 531-6615
Mailing address
9954 ELM ST, LANHAM, MD 20706-4712
(202) 531-6615
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10307
DC
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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