Individual
GRACE BATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 WHITE BIRCH CT, GREENBELT, MD 20770-1625
(202) 704-3640
Mailing address
110 WHITE BIRCH CT, GREENBELT, MD 20770-1625
(202) 704-3640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1004839
DC
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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