Individual
MARY GRACE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11580 PALO ALTO RD, LUSBY, MD 20657-3751
(703) 472-0895
Mailing address
11580 PALO ALTO RD, LUSBY, MD 20657-3751
(703) 472-0895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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