Individual
GRACE ZANOLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688-2804
(855) 727-2251
Mailing address
2450 ELDEN AVE UNIT F, COSTA MESA, CA 92627-7435
(847) 924-9222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61194
CA
Other
Enumeration date
07/21/2014
Last updated
01/14/2023
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