Individual
GRACE KATHLEEN BONTRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19450 DEERFIELD AVE STE 460, LEESBURG, VA 20176-6840
(571) 707-8522
Mailing address
1715 15TH ST NW APT 51, WASHINGTON, DC 20009-3878
(571) 707-8522
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0024196126
VA
367A00000X
Advanced Practice Midwife
Primary
0024196126
VA
Other
Enumeration date
01/23/2026
Last updated
02/23/2026
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