DESERT GRACE WELLNESS LLC

WADDELL, AZ
NPI1467292151
Entity TypeOrganization
Authorized ContactANNA P HALL
Sole Member
951-764-2457
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
DESERT GRACE WELLNESS LLC
17328 W SELDON LN
WADDELL, AZ 85355-7628
Phone number: 951-764-2457
Mailing Address
DESERT GRACE WELLNESS LLC
PO BOX 774
WADDELL, AZ 85355-0774
Phone number: 951-764-2457