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Individual

GRACE LALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12400 MONTECITO RD APT 401, SEAL BEACH, CA 90740-2736
(562) 480-3119
Mailing address
12400 MONTECITO RD APT 401, SEAL BEACH, CA 90740-2736
(562) 480-3119

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
802855
CA
163WC0400X
Case Management Registered Nurse
802855
CA
163WC1500X
Community Health Registered Nurse
802855
CA
163WL0100X
Lactation Consultant (Registered Nurse)
802855
CA
163WM0102X
Maternal Newborn Registered Nurse
802855
CA
163WN0003X
Low-Risk Neonatal Registered Nurse
802855
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
802855
CA
163WP1700X
Perinatal Registered Nurse
802855
CA
163WX0002X
High-Risk Obstetric Registered Nurse
802855
CA

Other

Enumeration date
05/27/2024
Last updated
05/27/2024
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