Individual
MISS GRACE GUANZON PARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2366 HARBOR BLVD APT 105, COSTA MESA, CA 92626-6602
(949) 438-8676
Mailing address
2366 HARBOR BLVD APT 105, COSTA MESA, CA 92626-6602
(949) 438-8676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
808209
CA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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