Individual
GRACE ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 BULLARD ST, DORCHESTER, MA 02121-3859
(671) 595-2785
Mailing address
31 BULLARD ST, DORCHESTER, MA 02121-3859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2277893
MA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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