Individual
GRACE M TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
855 E ANAHEIM ST, LONG BEACH, CA 90813-3550
(562) 591-0840
Mailing address
855 E ANAHEIM ST, LONG BEACH, CA 90813-3550
(562) 591-0840
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 15702
CA
Other
Enumeration date
06/24/2009
Last updated
07/27/2011
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