Individual
GRACE LYNN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(253) 202-3711
Mailing address
4616 SW 328TH PL, FEDERAL WAY, WA 98023-1925
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A185652
CA
Other
Enumeration date
04/02/2019
Last updated
10/25/2024
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