Individual
MS. GRACE A OLUWADIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21335 SIGNAL HILL PLAZA, SUITE 270, STERLING, VA 20164
(703) 682-2471
Mailing address
113 N RIPLEY ST APT 101, ALEXANDRIA, VA 22304-5748
(708) 378-5726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
183983-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
163
—
05
—
163W00000X
—
VA
Enumeration date
03/13/2018
Last updated
03/13/2018
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