Individual
GRACE KEISHANYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9802 W VAN BUREN ST UNIT 227, TOLLESON, AZ 85353-2855
(714) 905-2340
Mailing address
9802 W VAN BUREN ST UNIT 227, TOLLESON, AZ 85353-2855
(714) 905-2340
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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