Individual
GRACE WILLAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 E OAKEY BLVD # 110, LAS VEGAS, NV 89104-1403
(170) 268-6337
Mailing address
528 E OAKEY BLVD # 110, LAS VEGAS, NV 89104-1403
(170) 268-6337
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN43918
NV
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/10/2022
Last updated
03/06/2023
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