Individual
MRS. GRACE H. WAKUGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5176 WILLOW WOOD RD, ROLLING HILLS ESTATES, CA 90274-2321
(310) 722-7348
(310) 375-6464
Mailing address
5176 WILLOW WOOD RD, ROLLING HILLS ESTATES, CA 90274-2321
(310) 722-7348
(310) 375-6464
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
513220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN5132200
—
CA
Enumeration date
11/07/2006
Last updated
07/08/2007
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