Individual
MR. ANTHONY KEOKI GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 EDGEWOOD CT, DALY CITY, CA 94014-1841
(650) 944-7110
Mailing address
2600 S EL CAMINO REAL, SAN MATEO, CA 94403-2380
(650) 373-0770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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