Individual
GRACEKUTTY T MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1545 PULASKI HWY, BEAR, DE 19701-1303
(866) 389-2727
(484) 450-2617
Mailing address
1545 PULASKI HWY, BEAR, DE 19701-1303
(866) 389-2727
(401) 652-9787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000444
DE
Other
Enumeration date
06/05/2008
Last updated
10/26/2022
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