Individual
MS. CONSTANCE RUTH GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTR
Contact information
Practice address
16921 135TH PL SE, RENTON, WA 98058-6901
(425) 221-5918
(425) 235-7420
Mailing address
16921 135TH PL SE, RENTON, WA 98058-6901
(425) 221-5918
(425) 235-7420
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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