Individual
GRACE A KEKIA EPSE TANGUFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9741 GOOD LUCK RD APT 5, LANHAM, MD 20706-3320
(240) 543-2385
Mailing address
9741 GOOD LUCK RD, LANHAM, MD 20706-3320
(240) 543-2385
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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