GRACE GENEVIEVE FIRESTONE

SANTA MONICA, CA
NPI1780203216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A183764)
Enumeration Date2020-04-14
Last Update Date2023-08-16
Business Address
GRACE GENEVIEVE FIRESTONE
1131 WILSHIRE BLVD STE 300
SANTA MONICA, CA 90401-2066
Phone number: 310-395-5588
Mailing Address
GRACE GENEVIEVE FIRESTONE
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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