Individual
BLANCA GRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 BROADWAY ST, KING CITY, CA 93930-3602
(831) 386-9340
Mailing address
1180 BROADWAY ST, KING CITY, CA 93930-3602
(831) 386-9340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
2470A2800X
Assistant Health Information Record Technician
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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