Gracestreamscare
Gracestreamscare is a Licensed Vocational Nurse in Mesa, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3707 E Southern Ave Ste 2064Mesa, AZ 85206-6218
Phone: (480) 310-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X |
|---|
Record details
| NPI number | 1164267621 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amarachi Onyeforo — Administrator · (480) 310-7411 |
| NPI enumerated | June 26, 2024 |
| Last updated in NPPES | June 26, 2024 |
| Certification date | June 25, 2024 |
| Mailing address | 3707 E Southern Ave Ste 2064, Mesa, AZ 85206-6218 |