Individual
GLORY ABOLICOB NDIFON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
Mailing address
6713 TERRA ALTA DR, LANHAM, MD 20706-3747
(618) 571-5915
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200001943
DC
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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