Individual
GRACE AVILA MESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-5272
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
851418
CA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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