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Individual

GRACE YOUNGOK CHO BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
600 N WOLFE ST, BLALOCK 1410, BALTIMORE, MD 21287-0005
(410) 955-1675
(410) 955-8309
Mailing address
501 SAINT PAUL ST, BALTIMORE, MD 21202-2270
(813) 841-9906

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
106049
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6058
NC
390200000X
Student in an Organized Health Care Education/Training Program
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
390200000X
A STUDENT IN A HEALTH CARE INSTITUTION
MD
Enumeration date
02/20/2015
Last updated
11/11/2025
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