Individual
MALISSA DA GRACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 SAINT PAUL PL, CENTER FOR ADVANCED FETAL CARE, BALTIMORE, MD 21202-2123
(410) 332-9192
Mailing address
345 SAINT PAUL PL, CENTER FOR ADVANCED FETAL CARE, BALTIMORE, MD 21202-2123
(410) 332-9192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R180710
MD
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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