Individual
GRACE ANN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9850 GENESEE AVE STE 320, LA JOLLA, CA 92037-1208
(858) 554-1212
(858) 795-1195
Mailing address
9850 GENESEE AVE STE 320, LA JOLLA, CA 92037-1208
(858) 554-1212
(858) 795-1195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63208
CA
Other
Enumeration date
07/23/2022
Last updated
08/29/2023
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