MIRA SHANKS GRACER

LOS ANGELES, CA
NPI1578926325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A148239)
Enumeration Date2016-03-30
Last Update Date2018-07-23
Business Address
MIRA SHANKS GRACER MD
1200 N STATE ST
LOS ANGELES, CA 90033
Phone number: 323-409-5555
Mailing Address
MIRA SHANKS GRACER MD
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-409-5555
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