Individual
GRACE CATHERINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17612 17TH ST, TUSTIN, CA 92780-1962
(714) 243-5450
Mailing address
17612 17TH ST, TUSTIN, CA 92780-1962
(661) 755-9948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63870
CA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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