Individual
GRACE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5602 LOCUST LN, HARRISBURG, PA 17109-5624
(717) 648-7319
Mailing address
5602 LOCUST LN, HARRISBURG, PA 17109-5624
(717) 648-7319
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
43083601
PA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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