Individual
GRACE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
2400 MOORPARK AVE, DIABETES EDUCATION DEPT, SAN JOSE, CA 95128-2631
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
RN458517
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN458517
CA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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