Individual
GRACE A KAWESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
12903 ALLERTON LN, SILVER SPRING, MD 20904-3106
(301) 879-0124
Mailing address
12903 ALLERTON LN, SILVER SPRING, MD 20904-3106
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0000914
MD
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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