Shawanda Grace

NPI #1114699113 in Elyria, Ohio

Provider Information

NPI Number: 1114699113
Entity Type: Individual
Name: Shawanda Grace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Sep 29, 2021
Last Updated: Sep 29, 2021

Practice Location

Address: 333 WASHINGTON AVE APT 104
City: Elyria
State: Ohio
ZIP Code: 44035-5153
Phone: (216) 213-9395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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