Individual
BANAE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11676 S LAUREL DR APT 3C, LAUREL, MD 20708-3025
(202) 660-8178
Mailing address
11676 S LAUREL DR APT 3C, LAUREL, MD 20708-3025
(202) 660-8178
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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