Organization
GRACEFUL WELLNESS & ESSENTIAL NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANESTRA LATSHA WILSON RN (RN)
(216) 288-9229
Entity
Organization
Contact information
Practice address
2544 W SUNLAND AVE, PHOENIX, AZ 85041-4503
(216) 288-9229
Mailing address
2544 W SUNLAND AVE, PHOENIX, AZ 85041-4503
(216) 288-9229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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