GRACE SO

COLUMBIA, MD
NPI1245196716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MD  R231800)
Enumeration Date2025-12-29
Last Update Date2026-02-23
Business Address
GRACE SO
6334 CEDAR LN STE 103
COLUMBIA, MD 21044-4172
Phone number: 310-531-2355
Mailing Address
GRACE SO
6334 CEDAR LN STE 103
COLUMBIA, MD 21044-4172
Phone number: 410-531-2355
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