Amazing Grace 1 Afh Lcc
NPI #1003575309 in Spokane, Washington
Provider Information
- NPI Number
- 1003575309
- Entity Type
- Organization
- Organization Name
- Amazing Grace 1 Afh Lcc
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Dec 14, 2021
- Last Updated
- Dec 14, 2021
Practice Location
- Address
- 2304 E 60TH AVE
- City
- Spokane
- State
- Washington
- ZIP Code
- 99223-6902
- Phone
- (469) 456-2804
Authorized Official
- Name
- GRACE W KIAMBUTHIA, RN,BSN
- Title
- RN, BSN
- Phone
- (469) 456-2804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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