Gistand, Gloria Grace

Gistand, Gloria Grace is an sole proprietor health care provider with primary practice located at 1310 Club Dr , Vallejo CA 94592-1187. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gistand, Gloria Grace can be contacted via phone (707) 638-5809.

Contact Information

Primary practice address
1310 Club Dr Vallejo CA 94592-1187
Phone: (707) 638-5809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61344 California

Profile Details

NPI number 1417521402
LBN Legal business name Gistand, Gloria Grace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2021
Last updated Oct 31st, 2023 - about last year

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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