Individual
GRACE VAN DOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2115 CENTERPOINTE PKWY, SANTA MARIA, CA 93455-1334
(805) 346-7231
Mailing address
2115 CENTERPOINTE PKWY, SANTA MARIA, CA 93455-1334
(805) 346-7231
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
540071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540071
RN
CA
Enumeration date
06/23/2008
Last updated
06/23/2008
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