Individual
MS. GRACE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P., M.S.N.
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-3432
Mailing address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-3432
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPF 13442
CA
Other
Enumeration date
02/13/2007
Last updated
10/16/2024
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