Organization
KINGDOMHEALTHLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE MARIA GRUBBS NP (PRIMARY CLINICIAN)
(850) 381-4677
Entity
Organization
Contact information
Practice address
36725 JOAN DR, MECHANICSVILLE, MD 20659-5830
(850) 381-4677
Mailing address
36725 JOAN DR, MECHANICSVILLE, MD 20659-5830
(850) 381-4677
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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