Individual
EUFEMIA GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2346 S CLOVERDALE AVE, LOS ANGELES, CA 90016-2121
(310) 507-3704
Mailing address
2346 S CLOVERDALE AVE, LOS ANGELES, CA 90016-2121
(310) 507-3704
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
36234
CA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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