Individual
GRACE RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 1ST PL NE, WASHINGTON, DC 20011-3410
(202) 232-0789
Mailing address
1913 WINDSOR RD, ALEXANDRIA, VA 22307-1106
(443) 852-5001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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