Individual
GRACE A JIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1550
(408) 494-1557
Mailing address
614 TULLY RD, SAN JOSE, CA 95111-1048
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
801027
CA
Other
Enumeration date
08/31/2012
Last updated
04/13/2013
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