Individual
GRACE SOLIPACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 WALNUT ST, PHILADELPHIA, PA 19107-5109
(215) 625-6630
Mailing address
840 WALNUT ST, PHILADELPHIA, PA 19107-5109
(215) 625-6630
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP029489
PA
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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