TRACIE D GRACE

FARMINGTON, NM
NPI1356625917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  0064574)
Enumeration Date2011-09-30
Last Update Date2011-09-30
Business Address
-- TRACIE D GRACE FNP-C
407 S SCHWARTZ AVE SUITE 201
FARMINGTON, NM 87401-5925
Phone number: 505-609-6730
Mailing Address
-- TRACIE D GRACE FNP-C
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258