Individual
GRACE MARASIGAN DUALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5474
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
809644
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
809644
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013837
CA
Other
Enumeration date
07/25/2019
Last updated
02/27/2020
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