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Organization
GRACE MEDICAL AND WELLNESS CLINIC
Active
Organization
GRACE MEDICAL AND WELLNESS CLINIC
Active
Other names
Grace Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP ALHIR (COO)
(909) 664-4634
Entity
Organization
Contact information
Practice address
6900 BROCKTON AVE STE 200, RIVERSIDE, CA 92506-3818
(909) 664-4634
Mailing address
6900 BROCKTON AVE STE 200, RIVERSIDE, CA 92506-3818
(909) 664-4634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
12/08/2023
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