Individual
CAROL GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1834 MAIN ST, RAMONA, CA 92065-2522
(760) 789-2629
(760) 788-3235
Mailing address
1834 MAIN ST, RAMONA, CA 92065-2522
(760) 789-2629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00025976
AL
207Q00000X
Family Medicine Physician
25MA11155800
NJ
207Q00000X
Family Medicine Physician
Primary
G84833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009968725
—
AL
05
—
03627051
—
MS
Enumeration date
04/13/2006
Last updated
06/17/2025
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