GRACE EDITH LINE
NPI 1790318186
Driver in Andover, MN
About Grace Edith Line NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE EDITH LINE (NPI 1790318186) is an individual driver provider in Andover, Minnesota, licensed in Minnesota (B772-020-465-216) and active in the NPI registry since February 2020. She maintains a secondary practice location in Duluth.
NPPES Registry Identity
Specialties & Licenses
A person employed to operate a motor vehicle as a carrier of persons or property.
Secondary Practice Location 1
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790318186, enumerated as an "individual" on February 13, 2020.
The provider is located at 2934 168TH LN NW ANDOVER, MN 55304 and the phone number is (218) 481-5357.
Driver with taxonomy code 172A00000X.