Individual
MRS. GRACIE MAY HUNTER-GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
(702) 763-0300
(702) 463-0301
Mailing address
941 CHAPS CIR, HENDERSON, NV 89002-9517
(425) 999-0955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN16279
NV
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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