Individual
GRACE JENNIFER EUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5612 EASTON ROAD, PLUMSTEADVILLE, PA 18949-0866
(215) 766-8844
Mailing address
5612 EASTON ROAD, P.O.BOX 866, PLUMSTEADVILLE, PA 18949-0866
(215) 766-8844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056310
PA
Other
Enumeration date
09/05/2013
Last updated
09/02/2016
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