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Savannah Nicole Gracey
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1679052054

Savannah Nicole Gracey is a Student in an Organized Health Care Education/Training Program based in Riverside, CA. Savannah Nicole Gracey practices in San Diego, CA. The NPI Number for Savannah Nicole Gracey is 1679052054 and holds a License No. F3481695 (California).

The current practice location address for Savannah Nicole Gracey is 3132 Jefferson St, San Diego, CA and can be reached out via phone at 619-683-3100 and via fax at 619-682-4037.

Location: 3132 Jefferson St, San Diego, CA, 92506-6212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679052054
Provider Name
Savannah Nicole Gracey
Credential
Provider Entity Type
Individual
Gender
Female
Address
3132 Jefferson St, San Diego, CA, 92506-6212
Phone Number
619-683-3100
Fax Number
619-682-4037
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
619-682-4037
person
Provider Business Mailing Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
619-682-4037
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
F3481695 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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