Individual
DR. JESSICA JANE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
403 E STATESVILLE AVE, MOORESVILLE, NC 28115-2675
(704) 799-0420
(704) 658-9906
Mailing address
403 E STATESVILLE AVE, MOORESVILLE, NC 28115-2675
(704) 799-0420
(704) 658-9906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2193
NC
Other
Enumeration date
03/16/2006
Last updated
09/29/2014
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