Individual
GRACE KATHERINE LAIRSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1317 TAYFIELD CT, DAYTON, OH 45414-3188
(937) 751-7999
Mailing address
1317 TAYFIELD CT, DAYTON, OH 45414-3188
(937) 751-7999
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
UZ818389
OH
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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