Individual
GRACE YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5019 HICKORY RD, SOUTH CHESTERFIELD, VA 23803-1523
(804) 661-0073
(804) 729-3533
Mailing address
5019 HICKORY RD, SOUTH CHESTERFIELD, VA 23803-1523
(804) 661-0073
(804) 729-3533
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164816370
—
VA
Enumeration date
07/08/2020
Last updated
07/08/2020
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