Individual
GRACIE ANN HISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(740) 221-1929
Mailing address
220 E MAIN ST, KIRKERSVILLE, OH 43033-7518
(740) 221-1929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.440442
OH
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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