Individual
GRACE VALIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4070
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2026
Last updated
07/15/2026
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