Individual
GRACE SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3270 GATSBY LN, MONTGOMERY, AL 36106-2668
(334) 303-1630
Mailing address
3270 GATSBY LN, MONTGOMERY, AL 36106-2668
(334) 303-1630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07180528
AL
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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