Individual
GRACE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 PHEASANT DR, ORIENT, OH 43146-9212
(614) 419-9541
Mailing address
5525 PHEASANT DR, ORIENT, OH 43146-9212
(614) 419-9541
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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