Individual
MISS CHERYL IRENE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PARMAC ROAD, SUITE 2, CHICO, CA 95926
(530) 891-2784
(530) 891-2809
Mailing address
PO BOX 3105, PARADISE, CA 95967-3105
(530) 872-9140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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