NPI Profile for GRACE ADIYIAH in PLYMOUTH, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X | |||
Community Health |
163WC1500X |
| NPI # | 1437498508 |
|
| Status | Active | |
| Credentials | RN, BSN, MA | |
| Entity | Individual | |
| Enumeration date | 02/08/2013 | |
| Last updated | 02/08/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GRACE ADIYIAH
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