Individual
GRACE TRINIDAD MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
(936) 756-5974
Mailing address
2302 KEEGAN HOLLOW LN, SPRING, TX 77386-3325
(281) 904-5933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
948573
TX
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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