GRACE SO

HANOVER, MD
NPI1245196716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MD  R231800)
Enumeration Date2025-12-29
Last Update Date2025-12-29
Business Address
GRACE SO
7063 FOX GLOVE LN
HANOVER, MD 21076-2440
Phone number: 240-281-9991
Mailing Address
GRACE SO
7063 FOX GLOVE LN
HANOVER, MD 21076-2440
Phone number: 240-281-9991
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