Individual
GRACE BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7177
Mailing address
2350 W. EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
NP8263
CA
363L00000X
Nurse Practitioner
Primary
NP8263
CA
Other
Enumeration date
12/01/2005
Last updated
03/14/2016
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