Individual
COURTNEY GRADL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 PAUL DR STE B, SAN RAFAEL, CA 94903-2047
(877) 264-6747
(877) 539-7730
Mailing address
36 MONTEREY BLVD STE A, SAN FRANCISCO, CA 94131-3235
(877) 264-6747
(877) 539-7730
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-16-21943
CA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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