Individual
GRACE SUH COSCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2901 OCEAN PARK BLVD STE 207, SANTA MONICA, CA 90405-2964
(310) 418-1999
Mailing address
2901 OCEAN PARK BLVD STE 207, SANTA MONICA, CA 90405-2964
(310) 418-1999
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7181
CA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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