Individual
GRACE YOCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 MAIN ST, HUNTINGTON BEACH, CA 92648-2721
(714) 369-2448
Mailing address
1216 MAIN ST, HUNTINGTON BEACH, CA 92648-2721
(714) 369-2448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9786
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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