Individual
GRACE AYOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8319 CHERRY LN STE 1, LAUREL, MD 20707-4830
(240) 551-8055
Mailing address
3300 YELLOW FLOWER RD, LAUREL, MD 20724-3201
(940) 594-7521
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
A00186369
MD
374700000X
Technician
MT0090937
—
374700000X
Technician
Primary
T2W3R8F7
MD
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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