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Individual

GRACE EBIASAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3636 16TH ST NW, WASHINGTON, DC 20010-1146
(202) 704-7681
Mailing address
3636 16TH ST NW, WASHINGTON, DC 20010-1146
(202) 704-7681

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/28/2012
Last updated
06/28/2012
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