Individual
GRACE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070
(650) 596-4240
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 596-4240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009330
CA
Other
Enumeration date
09/08/2015
Last updated
06/03/2020
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