Individual
MS. MARY GRACE BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9090 WILSHIRE BLVD, 200, BEVERLY HILLS, CA 90211-1848
(310) 888-8680
(310) 388-1381
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 888-8680
(310) 388-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
534909
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP13711
CA
Other
Enumeration date
05/24/2007
Last updated
07/18/2022
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