Individual
GRACE MENE-MEREGILLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
976 LENZEN AVE, SAN JOSE, CA 95126-2737
(408) 992-4905
Mailing address
976 LENZEN AVE, SAN JOSE, CA 95126-2737
(408) 992-4905
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
526591
CA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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