Individual
GRACE STRACUZZI FREYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7734 N 59TH AVE, GLENDALE, AZ 85301-7816
(602) 569-3999
Mailing address
7957 GARDENIA AVE, RANCHO CUCAMONGA, CA 91701-2513
(909) 201-9640
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95017740
CA
Other
Enumeration date
07/07/2021
Last updated
09/20/2022
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