Gracious Weah, CNA-DT

NPI #1548808447 in Randallstown, Maryland

Provider Information

NPI Number: 1548808447
Entity Type: Individual
Name: Gracious Weah, CNA-DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Credential: CNA-DT
Enumeration Date: Dec 11, 2019
Last Updated: Dec 11, 2019

Practice Location

Address: 8603 GRAY FOX RD APT 203
City: Randallstown
State: Maryland
ZIP Code: 21133-5145
Phone: (443) 565-2619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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