Individual
MRS. GRACE MARY HANNAH MAGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
12048 MEDOC LN, SAN DIEGO, CA 92131-1417
(858) 271-0913
(858) 271-7889
Mailing address
12048 MEDOC LN, SAN DIEGO, CA 92131-1417
(858) 271-0913
(858) 271-7889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20-2064545
CA
Other
Enumeration date
05/29/2007
Last updated
10/10/2011
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