Individual
MRS. GRACE VANESSA BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5223 GLENDORA CT, POWDER SPRINGS, GA 30127-5346
(619) 817-6488
Mailing address
5223 GLENDORA CT, POWDER SPRINGS, GA 30127-5346
(619) 817-6488
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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