Individual
GRACE UKOMADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
9138 LENNINGS LN, BALTIMORE, MD 21237-4307
(667) 228-8003
Mailing address
9138 LENNINGS LN, BALTIMORE, MD 21237-4307
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R251328
MD
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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