Individual
GRACE PALISOC AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
Mailing address
10117 CAREFREE DR, SANTEE, CA 92071-1802
(858) 231-4494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
728616
CA
Other
Enumeration date
04/23/2010
Last updated
11/17/2012
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