Individual
DANTRIA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 HARPER CT, TUSCALOOSA, AL 35401-7454
(205) 366-3010
Mailing address
115 HARPER CT, TUSCALOOSA, AL 35401-7454
(205) 366-3010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
911402
MS
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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