Individual
MISS GRACE ANTWIWAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
9412 NICKLAUS LN, LAUREL, MD 20708-3237
(240) 264-9809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
12/18/2023
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