Individual
GRACE MELANIE BAULDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 575-4203
Mailing address
PO BOX 964, MONROEVILLE, AL 36461-0964
(251) 575-4203
(251) 575-9459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-114771
AL
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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