Individual
GRACE ROBBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20007 VILLAGE GREEN DR, LAKEWOOD, CA 90715-1002
(314) 359-8036
Mailing address
20007 VILLAGE GREEN DR, LAKEWOOD, CA 90715-1002
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN708095
CA
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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