Individual
MS. GRACE ELLEN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17142 JULIANA AVE, EASTPOINTE, MI 48021-3080
(313) 989-5089
Mailing address
17142 JULIANA AVE, EASTPOINTE, MI 48021-3080
(313) 989-5089
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
47030799496
MI
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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