Grand Medispa Group, Inc.

NPI 1023263555 - Specialist - 174400000X

NPI Details
NPI 1023263555
Enumeration Date 11/25/2008
Last Updated 11/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THOMAS T. THOMAS
Position OWNER
Phone (909) 902-1401
Fax (909) 902-6317
Practice Location
13768 ROSWELL AVE STE 121
CHINO CA, 91710-1404, US
Phone (909) 902-1401
Fax (909) 902-6317
Business Location
13768 ROSWELL AVENUE STE 121
CHINO CA, 91710-1404, US
Phone (909) 902-1401
Fax (909) 902-6317
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A37294
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According to our database, Grand Medispa Group, Inc. NPI is 1023263555, taxonomy code is 174400000X and license number is A37294, license state is located at California. Grand Medispa Group, Inc. physically located at 13768 Roswell Ave Ste 121, Chino CA, 91710-1404. NPI Number 1033115704 has the healthcare provider type.

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1023263555 NPI number is provided on an as is basis without warranty of any kind. 1023263555 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Medispa Group, Inc. are for informational purposes only.