Antiba Graham

NPI 1730589193 - Counselor - 101Y00000X

NPI Details
NPI 1730589193
Gender Male
Enumeration Date 09/03/2014
Last Updated 09/03/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
506 W JACKMAN ST
LANCASTER CA, 93534-2531, US
Phone (661) 726-2850
Fax
Business Location
506 W JACKMAN ST
LANCASTER CA, 93534-2531, US
Phone (661) 726-2850
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Antiba Graham NPI is 1730589193, taxonomy code is 101Y00000X Antiba Graham physically located at 506 W Jackman St, Lancaster CA, 93534-2531. NPI Number Antiba Graham has the Individual type.

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1730589193 NPI number is provided on an as is basis without warranty of any kind. 1730589193 is maintained by the National Plan & Provider Enumeration System. The contents of Antiba Graham are for informational purposes only.