Individual
MS. DELAINE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10719 VIENNA ST, NEW ORLEANS, LA 70127-3117
(504) 598-4641
Mailing address
10719 VIENNA ST, NEW ORLEANS, LA 70127-3117
(504) 598-4641
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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