Individual
GRACE HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 MAIN ST, MALDEN, MA 02148-3918
(857) 399-3870
Mailing address
555 MAIN ST, MALDEN, MA 02148-3918
(857) 399-3870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5617
MA
Other
Enumeration date
04/20/2023
Last updated
07/18/2023
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