Individual
GRACE EKPENYONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(443) 768-6095
Mailing address
807 PAINTED POST CT, PIKESVILLE, MD 21208-3542
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN1047166
DC
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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