Gracey Mae Eden

NPI #1639634785 in Bangor, Pennsylvania

Provider Information

NPI Number: 1639634785
Entity Type: Individual
Name: Gracey Mae Eden
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 4, 2019
Last Updated: Feb 4, 2019

Practice Location

Address: 712 LAUREL HILL RD
City: Bangor
State: Pennsylvania
ZIP Code: 18013-5564
Phone: (520) 343-8221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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