Individual
GRACE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3667 BROADMOOR BLVD, SAN BERNARDINO, CA 92404-1709
(909) 325-9646
Mailing address
3667 BROADMOOR BLVD, SAN BERNARDINO, CA 92404-1709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95138974
CA
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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