Individual
DR. ANITA JEANNE MOON-GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-5470
(916) 734-0424
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-5470
(916) 734-0424
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
G079633
CA
2080P0202X
Pediatric Cardiology Physician
Primary
G079633
CA
Other
Enumeration date
01/19/2006
Last updated
10/12/2007
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