Organization
GRACE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGATHA N UKAEGBU MSN (OWNER OF ENTITY)
(443) 275-1031
Entity
Organization
Contact information
Practice address
6600 YORK RD STE 200B, BALTIMORE, MD 21212-2024
(443) 275-1031
(443) 275-2597
Mailing address
6600 YORK RD STE 200B, BALTIMORE, MD 21212-2024
(443) 275-1031
(443) 275-2597
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/24/2021
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