Individual
GRACE YOMOGIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
207 W LEGION ROAD, BRAWLEY, CA 92227-7780
(760) 351-3333
Mailing address
207 W LEGION RD, BRAWLEY, CA 92227-7780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63935
CA
363AM0700X
Medical Physician Assistant
—
CA
Other
Enumeration date
09/04/2023
Last updated
02/08/2024
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