Individual
MS. GRACE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
840 LARRABEE ST APT 1315, WEST HOLLYWOOD, CA 90069-4525
(213) 595-0868
Mailing address
840 LARRABEE ST APT 1315, WEST HOLLYWOOD, CA 90069-4525
(213) 595-0868
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E147744
CA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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