Graduated: 2019
NPI: 1568007862
Practice Locations (2)
GRACEWAY HEALTH CARE LLC
9200 FRANKLIN SQUARE DR
BALTIMORE, MD 212374458
4103912600
ENNOBLE HC DMV LLC
8115 MAPLE LAWN BLVD, SUITE 350
FULTON, MD 207592683
9734359463
Source: CMS National Downloadable File, September 2026.