Individual
MS. GRACE NWANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
Mailing address
1315 PEACHTREE CT, BOWIE, MD 20721-3000
(202) 717-0595
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213117167708288
—
DC
Enumeration date
04/20/2012
Last updated
04/20/2012
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