Individual
GRECIA MARIA CASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 HAWTHORNE ST, MONTEREY, CA 93940-1808
(831) 655-8800
Mailing address
399 DRAKE AVE, MONTEREY, CA 93940-7504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27BW8
MED-CAL
—
01
—
41BW
MEDI-CAL
—
01
—
BWASOCFSP
MEDI-CAL
—
01
—
PRVNBR
MEDI-CAL
—
Enumeration date
08/28/2011
Last updated
09/20/2012
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