Individual
GRACE U BONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 MAIN ST STE 104, RAMONA, CA 92065-5242
(760) 896-1333
Mailing address
12740 GATEWAY PARK RD APT 123, POWAY, CA 92064-2076
(858) 880-8139
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
20076
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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