Individual
HEATHER ALISON GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 364-0317
Mailing address
41 VIA LAVENDERA, RANCHO SANTA MARGARITA, CA 92688-1473
(949) 766-7493
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
17503
CA
Other
Enumeration date
08/04/2005
Last updated
12/01/2021
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