Individual
DR. LENISE RACQUEL GRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
403 REED ROAD, ABSECON, NJ 08201
(609) 992-6926
Mailing address
403 REED ROAD, ABSECON, NJ 08201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00627200
NJ
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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