Individual
GRACIE QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 TALON AVE, HENDERSON, NV 89074-0949
(714) 797-3852
Mailing address
1713 TALON AVE, HENDERSON, NV 89074-0949
(714) 797-3852
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
837837
NV
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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