Individual
CECELIA GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13834 KING FREDERICK WAY, UPPER MARLBORO, MD 20772-6901
(301) 512-6210
Mailing address
13834 KING FREDERICK WAY, UPPER MARLBORO, MD 20772-6901
(301) 512-6210
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
ACTIVE
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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