Organization
GRACIOUS HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA PIETERSON NP (OWNER)
(443) 850-5679
Entity
Organization
Contact information
Practice address
1035 MARSHANE RD, REISTERSTOWN, MD 21136-5861
(443) 850-5679
Mailing address
1035 MARSHANE RD, REISTERSTOWN, MD 21136-5861
(443) 850-5679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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