Organization
GRACE AYENSU DANQUAH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE AYENSU-DANQUAH MD (PRESIDENT)
(909) 450-4544
Entity
Organization
Contact information
Practice address
500 S 7TH AVE, SUITE C, BARSTOW, CA 92311-3056
(760) 256-1414
Mailing address
500 S 7TH AVE, SUITE C, BARSTOW, CA 92311-3056
(909) 450-4544
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A97084
CA
Other
Enumeration date
03/26/2008
Last updated
06/04/2011
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