GRACE PAE

PHILADELPHIA, PA
NPI1477187698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  SP021485)
Enumeration Date2020-02-26
Last Update Date2020-06-16
Business Address
GRACE PAE
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 732-284-6690
Mailing Address
GRACE PAE
601 N 2ND ST APT 203
PHILADELPHIA, PA 19123-3076
Phone number: 732-284-6690
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