Individual provider · NPI-1
Grace Adumanisa
Specialist, Research Study · Largo, MD
NPI number1104663145
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1104663145
- Entity type
- Individual (NPI-1)
- Name
- Grace Adumanisa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744R1102X | Specialist, Research Study | – | – | Yes |
Practice location
1221 Mercantile LnLargo, MD 20774-5374
Phone 202-934-4310
Mailing address
1221 Mercantile LnLargo, MD 20774-5374
Phone 202-934-4310
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