GRACE OH

IRVINE, CA
NPI1790560910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-08-28
Last Update Date2024-05-15
Business Address
GRACE OH
14775 JEFFREY RD STE C
IRVINE, CA 92618-0402
Phone number: 661-505-3260
Mailing Address
GRACE OH
3721 PROVINCETOWN AVE
IRVINE, CA 92606-1727
Phone number: