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Organization
SOUTH BAY NURSE ANESTHESIA SERVICES
Active
Organization
SOUTH BAY NURSE ANESTHESIA SERVICES
Active
Other names
Grace and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE H WAKUGAWA CRNA (OWNER)
(310) 722-7348
Entity
Organization
Contact information
Practice address
510 N PROSPECT AVE STE 202, REDONDO BEACH, CA 90277-3030
(310) 722-7348
Mailing address
PO BOX 3144, PALOS VERDES PENINSULA, CA 90274-9144
(310) 722-7348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
513220
CA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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