Phan, Grace Gotos

Phan, Grace Gotos is an sole proprietor health care provider with primary practice located at 2812 Breaker Way , Stockton CA 95209-4265. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Phan, Grace Gotos can be contacted via phone (209) 351-7132.

Contact Information

Primary practice address
2812 Breaker Way Stockton CA 95209-4265
Phone: (209) 351-7132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X PT32760 California

Profile Details

NPI number 1912235276
LBN Legal business name Phan, Grace Gotos
Credentials LPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2009
Last updated Jun 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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