Individual
DR. JENNIFER GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
45 DEPOT ST UNIT 45C, DUXBURY, MA 02332-4431
(339) 217-2985
(339) 217-2986
Mailing address
45 DEPOT ST UNIT 45C, DUXBURY, MA 02332-4431
(339) 217-2985
(339) 217-2986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154873008
—
MA
05
—
120161202000158
—
MA
Enumeration date
10/26/2016
Last updated
07/22/2022
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