Individual
GRACE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
7055 SAMUEL MORSE DR, 200, COLUMBIA, MD 21046-3439
(667) 701-2070
Mailing address
7055 SAMUEL MORSE DR, 200, COLUMBIA, MD 21046-3439
(667) 701-2070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1023092
DC
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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