| NPI | 1689357030 |
|---|---|
| Doing Business As | GRACE MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | PHILLIP ALHIR COO 909-664-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-12-08 |