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Individual

LAURA LYNN GRGICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2671
(650) 573-2696
Mailing address
83 IRVING ST, SOUTH SAN FRANCISCO, CA 94080-1512
(650) 784-8067

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
351587
CA

Other

Enumeration date
04/16/2021
Last updated
04/16/2021
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