LARQUIETTA GRADY

PHOENIX, AZ
NPI1437877222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2022-08-17
Last Update Date2023-03-28
Business Address
LARQUIETTA GRADY
7412 S 37TH DR
PHOENIX, AZ 85041-6169
Phone number: 833-365-5331
Mailing Address
LARQUIETTA GRADY
9307 S 51ST AVE UNIT 114
LAVEEN, AZ 85339-3906
Phone number: 833-365-5331