Individual
DR. JEANIE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, AP, LAC
Contact information
Practice address
3700 N HARBOR CITY BLVD STE 2B, MELBOURNE, FL 32935-5792
(321) 890-2082
Mailing address
706 SPRING VALLEY DR, MELBOURNE, FL 32940-1718
(321) 890-2082
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC 5272
CA
171100000X
Acupuncturist
Primary
AP3591
FL
Other
Enumeration date
01/31/2007
Last updated
10/24/2019
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