GRACE AN

BRONX, NY
NPI1013447341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  F341274)
Enumeration Date2017-06-19
Last Update Date2018-06-19
Business Address
GRACE AN NURSE PRACTITIONER
111 E 210TH ST FL 2
BRONX, NY 10467
Phone number: 718-920-7303
Mailing Address
GRACE AN NURSE PRACTITIONER
539 BLOOMFIELD AVE STE 1
NEWARK, NJ 07107-1385
Phone number: 735-669-9009
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