Individual
CAITLIN GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 PANTHER BRANCH RD, FORT GAY, WV 25514-8187
(304) 962-6898
Mailing address
281 PANTHER BRANCH RD, FORT GAY, WV 25514-8187
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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