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Organization

GERIATRIC HEALTHCARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK RICHARD GRUIDL FNP (PRESIDENT)
(805) 748-8897
Entity
Organization

Contact information

Practice address
278 HACIENDA DR, CAYUCOS, CA 93430-1550
(805) 748-8897
(805) 434-0308
Mailing address
PO BOX 2677, ATASCADERO, CA 93423-2677
(805) 748-8897
(805) 434-0308

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
W16850
CA

Other

Enumeration date
10/18/2005
Last updated
09/14/2016
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