Individual
GRACE PATRICIA DIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
951 MARINERS ISLAND BLVD STE 300, SAN MATEO, CA 94404-1560
(650) 285-6927
(888) 352-7383
Mailing address
1229 ORANGE ST, INDIANAPOLIS, IN 46203-1932
(312) 479-2252
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000360A
IN
Other
Enumeration date
10/15/2020
Last updated
04/29/2022
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