GRACE KENVILLE

PHILADELPHIA, PA
NPI1902625866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA066123)
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
GRACE KENVILLE PA-C
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7890
Mailing Address
GRACE KENVILLE PA-C
24 SAXONY DR
CINNAMINSON, NJ 08077-4390
Phone number:
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