Individual
GRACE PRILLAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2224
(434) 244-9481
Mailing address
1215 LEE STREET BOX 800422, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2224
(434) 244-9481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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