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Individual

GRACE ROSALEE JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9012 199TH ST, HOLLIS, NY 11423-2703
(718) 464-3585
Mailing address
9012 199TH ST, HOLLIS, NY 11423-2703
(718) 464-3585

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
850210
NY

Other

Enumeration date
02/02/2023
Last updated
02/02/2023
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