Organization · Type 2 NPI
Gravida LLC
Specialist · Mustang, OK
NPI number
1104145291
Active
Practice location
317 E Mobile Ter
Mustang, OK 73064-6524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1104145291
Gravida LLC's National Provider Identifier is 1104145291, issued on May 27, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mustang, OK. The record was last updated on May 27, 2010.