Individual
GRACE KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
380 90TH ST, DALY CITY, CA 94015-1807
(650) 301-8600
Mailing address
2306 TARAVAL ST APT 101, SAN FRANCISCO, CA 94116-2252
(818) 307-1407
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23372
CA
Other
Enumeration date
09/26/2013
Last updated
03/28/2018
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