Individual
GRACE POTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14235 PARK CENTER DR, LAUREL, MD 20707-5261
(301) 498-8100
(301) 498-0009
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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