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Individual
PEARL GRACE NACIONALES ESMALLA
Active
Individual
PEARL GRACE NACIONALES ESMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95038580
CA
164X00000X
Licensed Vocational Nurse
223269
CA
Other
Enumeration date
03/24/2012
Last updated
09/16/2014
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