Individual
GRACE CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 MEDICAL PLZ, #365,214,420,120,510, LOS ANGELES, CA 90095-3075
(310) 794-1092
Mailing address
5767 W CENTURY BLVD, STE 200, LOS ANGELES, CA 90045-5631
(310) 794-1092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
424933
CA
207RH0003X
Hematology & Oncology Physician
Primary
15069
CA
363L00000X
Nurse Practitioner
15069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP150690
—
CA
Enumeration date
07/11/2006
Last updated
06/09/2010
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