Individual
MISS GRACE MACALALAG
Active
Individual
MISS GRACE MACALALAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN-C, CCRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR10560900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00718300
NJ
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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