Organization
PICCS WITH GRACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE HILLARD NURSE PRACTITIONER (VASCULAR SONOGRAPHY/PICC NURSE)
(678) 634-9040
Entity
Organization
Contact information
Practice address
5450 SWINGSTONE DR, HEMET, CA 92545-6125
(678) 634-9040
Mailing address
5450 SWINGSTONE DR, HEMET, CA 92545-6125
(678) 634-9040
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
251F00000X
Home Infusion Agency
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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