Individual
GRACE FREUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1 CONVENTION AVE, PHILADELPHIA, PA 19104-4311
(443) 827-9171
Mailing address
396 PARKER AVE, PHILADELPHIA, PA 19128-4442
(443) 827-9171
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN703863
PA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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