Individual
GRACE AGBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R225361
MD
Other
Enumeration date
02/16/2016
Last updated
02/20/2020
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