Individual
GRACE WANJIKU KINGORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6903 BRIGHTWAY PL APT J, GWYNN OAK, MD 21207-5786
(443) 985-0626
Mailing address
6903 BRIGHTWAY PL APT J, GWYNN OAK, MD 21207-5786
(443) 985-0626
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R194128
MD
363LF0000X
Family Nurse Practitioner
Primary
R194128
MD
Other
Enumeration date
01/17/2021
Last updated
09/08/2022
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