LISA GRAGE

CHULA VISTA, CA
NPI1336432616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H5443)
Enumeration Date2011-05-19
Last Update Date2024-09-06
Business Address
LISA GRAGE
1312 E VAQUERO CT
CHULA VISTA, CA 91910-8134
Phone number: 971-222-6092
Mailing Address
LISA GRAGE
1312 E VAQUERO CT
CHULA VISTA, CA 91910-8134
Phone number: 971-222-6092
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