NPI 1255676961

Grayce Lee Malavasic, CST

Practitioner Surgical Technologist Henderson, NV

Practice location

Address: 10561 Jeffreys St STE 230, Henderson, NV 89052-4266
Phone: (702) 565-6565

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 796781 (NV)

Other Specialist/Technologist, Other providers in Nevada →

Registry record

NPI: 1255676961
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2012
Record last updated: 6 Dec 2012

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.