NPI 1164267621

Gracestreamscare

Organisation Licensed Vocational Nurse Mesa, AZ

Practice location

Address: 3707 E Southern Ave STE 2064, Mesa, AZ 85206-6218
Phone: (480) 310-7411

Authorised official

Name: Amarachi Grace Onyeforo
Title: Administrator
Phone: (480) 310-7411

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X

Other Licensed Vocational Nurse providers in Arizona →

Registry record

NPI: 1164267621
Entity type: Organization
NPI issued: 26 Jun 2024
Record last updated: 26 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.