GRACE M THEODORO

SALT LAKE CITY, UT
NPI1366566416
Other NameGRACIELA H THEODORO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ  30763)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
Dr. GRACE M THEODORO M.D.
4021 S 700 E STE 300
SALT LAKE CITY, UT 84107-2184
Phone number: 314-432-1805
Mailing Address
Dr. GRACE M THEODORO M.D.
9 LADUE ESTATES DR
SAINT LOUIS, MO 63141-8321
Phone number: 314-432-1805
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