Individual
MS. GRACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SONOGRAPHER
Contact information
Practice address
2055 W 64TH PL, MERRILLVILLE, IN 46410-3114
(219) 746-6662
(219) 370-0508
Mailing address
2055 W 64TH PL, MERRILLVILLE, IN 46410-3114
(219) 746-6662
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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