Individual
GRACE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19503 STEVENS CREEK BLVD STE 351, CUPERTINO, CA 95014-2478
(650) 773-7504
Mailing address
19503 STEVENS CREEK BLVD STE 351, CUPERTINO, CA 95014-2478
(650) 773-7504
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
552127
CA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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