Individual
GRACE LYNN BUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W WASHINGTON AVE, LAS VEGAS, NV 89106-3731
(702) 776-4841
Mailing address
2500 W WASHINGTON AVE, LAS VEGAS, NV 89106-3731
(702) 776-4841
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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