Individual
JAMES E. GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59315 RIVER WEST DR, SUITE C, PLAQUEMINE, LA 70764-6553
(225) 687-6629
(225) 687-6678
Mailing address
59315 RIVER WEST DR, SUITE C, PLAQUEMINE, LA 70764-6553
(225) 687-6629
(225) 687-6678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.009786
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD.009786
STATE LISCENCE
LA
Enumeration date
05/11/2009
Last updated
05/22/2009
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