Individual
GRACE VALLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
8881 BETONY CT, REYNOLDSBURG, OH 43068-6770
(740) 538-4036
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN.419856
OH
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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