Individual
ALAINA GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
(386) 944-7202
Mailing address
1329 W MAIN ST # 143, SALEM, VA 24153-4707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001190527
VA
163W00000X
Registered Nurse
731310
NY
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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