Individual
GRACE ALMA ALBANO
Active
Individual
GRACE ALMA ALBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7P21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376551127
—
MO
01
—
20229031
BLUE CROSS BLUE SHIELD
MO
01
—
P01126874
RR MEDICARE
MO
Enumeration date
08/04/2006
Last updated
02/20/2013
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