Individual
GRACE SU SPERRAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 TRENTON AVE, MERCERVILLE, NJ 08619-1939
(609) 647-0895
Mailing address
237 TRENTON AVE, MERCERVILLE, NJ 08619-1939
(609) 647-0895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2019
Last updated
07/07/2020
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