Organization
GRACE ORTHOPEDIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE THUDIUM (OWNER)
(619) 794-3145
Entity
Organization
Contact information
Practice address
7905 SILVERTON AVE STE 108, SAN DIEGO, CA 92126-6346
(619) 794-3145
Mailing address
7905 SILVERTON AVE STE 108, SAN DIEGO, CA 92126-6346
(619) 794-3145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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