Individual
DAVID VINCENT GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 S AMPHLETT BLVD, STE 123, SAN MATEO, CA 94402-2702
(650) 578-8691
Mailing address
1720 S AMPHLETT BLVD, STE 123, SAN MATEO, CA 94402-2702
(650) 578-8691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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