Individual
LARQUIETTA GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9019 N 64TH DR, GLENDALE, AZ 85302-4004
(623) 254-7448
Mailing address
9019 N 64TH DR, GLENDALE, AZ 85302-4004
(623) 254-7448
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
01/15/2025
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