MARY GRACE CABATAS JUSTINIANI

VAN NUYS, CA
NPI1619012689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 17249)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- MARY GRACE CABATAS JUSTINIANI PA-C
14044 VICTORY BLVD
VAN NUYS, CA 91401-2226
Phone number: 818-376-0405
Mailing Address
-- MARY GRACE CABATAS JUSTINIANI PA-C
19120 JOVAN ST
TARZANA, CA 91335-6710
Phone number: 818-758-0243