Individual
GRAYCE LEE MALAVASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
10561 JEFFREYS ST, STE 230, HENDERSON, NV 89052-4266
(702) 565-6565
Mailing address
10561 JEFFREYS ST, STE 230, HENDERSON, NV 89052-4266
(702) 565-6565
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
796781
NV
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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