Individual
DR. GRACIELA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7910 FROST ST STE 360, SAN DIEGO, CA 92123-2776
(858) 246-0053
Mailing address
2 UPPER RAGSDALE DR STE B210, MONTEREY, CA 93940-7851
(831) 333-0999
(831) 333-0909
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
31480
AZ
208000000X
Pediatrics Physician
Primary
31480
AZ
2080P0006X
Developmental - Behavioral Pediatrics Physician
C140630
CA
Other
Enumeration date
03/28/2006
Last updated
07/16/2024
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