Individual
MRS. GRACE AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6201 GREENBELT RD, SUITE U-15, BERWYN HEIGHTS, MD 20740-2354
(301) 313-9016
Mailing address
12469 PETRILLO DR, HIGHLAND, MD 20777-9567
(301) 854-1822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R118268
MD
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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