Individual
DR. SUSAN GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
82198 VANDENBERG DR, INDIO, CA 92201-7456
(760) 954-7223
Mailing address
82198 VANDENBERG DR, INDIO, CA 92201-7456
(760) 954-7223
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A117630
CA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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