TABATHA GRACE

SHOW LOW, AZ
NPI1104402338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  254322)
Enumeration Date2021-03-18
Last Update Date2023-03-09
Business Address
TABATHA GRACE
1500 S WHITE MOUNTAIN RD BLDG 3
SHOW LOW, AZ 85901-7111
Phone number: 928-532-5838
Mailing Address
TABATHA GRACE
1300 S MAIN ST
SNOWFLAKE, AZ 85937-5661
Phone number: 928-536-5525
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