Individual
MRS. GRACE LAVERNE TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233172
TX
367500000X
Certified Registered Nurse Anesthetist
2554
CA
Other
Enumeration date
09/27/2007
Last updated
01/11/2017
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