Individual
GRACE BANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2190 N LINCOLN AVE, SALEM, OH 44460-9312
(330) 429-2661
Mailing address
PO BOX 955, SALEM, OH 44460-0955
(330) 429-2661
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN 095993
OH
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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