Teressa L Grace, N/A

NPI #1164748281 in Clarksdale, Mississippi

Provider Information

NPI Number
1164748281
Entity Type
Individual
Name
Teressa L Grace, N/A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse's Aide
Credential
N/A
Enumeration Date
Apr 14, 2010
Last Updated
Apr 14, 2010

Practice Location

Address
1742 N STATE ST
ZIP Code
38614-6620
Phone
(662) 621-9850

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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