Organization
ALL GRACE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE EMBELE CRNP (NURSE PRACTITIONER)
(240) 481-0252
Entity
Organization
Contact information
Practice address
3951 FERRARA DR, SILVER SPRING, MD 20906-4709
(240) 481-0252
Mailing address
3951 FERRARA DR, SILVER SPRING, MD 20906-4709
(240) 481-0252
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
08/30/2021
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