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Individual

DR. GINA GRACIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
100 MOODY CT STE 110, THOUSAND OAKS, CA 91360-6076
(310) 825-5721
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 2011
CA
231HA2400X
Assistive Technology Practitioner Audiologist
2011
CA

Other

Enumeration date
07/29/2008
Last updated
09/25/2023
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