Individual
IRENE L GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
2525 GRAND AVE, ROOM 183, LONG BEACH, CA 90815-1765
(562) 570-4053
(562) 570-4350
Mailing address
2525 GRAND AVE, ROOM 183, LONG BEACH, CA 90815-1765
(562) 570-4053
(562) 570-4350
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G078441
CA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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