Individual
MRS. GRACE VANESSA BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
RN 188675
GA
372600000X
Adult Companion
RH 188675
GA
376K00000X
Nurse's Aide
Primary
RN 188675
GA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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