Racheal S Ikubisehin
Day Training, Developmentally Disabled Services in Parkville, MD. Individual provider (NPI-1).
NPI number1194354290
StatusActive
Last updated in NPPESApr 2, 2020
Details
- NPI
- 1194354290
- Entity type
- Individual (NPI-1)
- Name
- Racheal S Ikubisehin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2020
- Certification date
- Apr 2, 2020
- Last updated
- Apr 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Practice location
7800 Wilson AveParkville, MD 21234-5825
Phone 443-824-5678
Mailing address
7800 Wilson AveParkville, MD 21234-5825
Phone 443-824-5678
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