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Individual

MS. GRACIE QUIROGA RIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 837-6647
Mailing address
3815 FLORAL DR, LOS ANGELES, CA 90063-1717
(213) 215-3389

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
06/24/2010
Last updated
05/16/2025
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