Carl Anthony Gradford

NPI 1134329386 - Counselor - 101Y00000X

NPI Details
NPI 1134329386
Gender Male
Enumeration Date 07/24/2007
Last Updated 07/24/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2120 W 8TH ST
# 330
LOS ANGELES CA, 90057-4019, US
Phone (213) 365-9047
Fax
Business Location
2120 W 8TH ST
# 330
LOS ANGELES CA, 90057-4019, US
Phone (213) 365-9047
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Carl Anthony Gradford NPI is 1134329386, taxonomy code is 101Y00000X Carl Anthony Gradford physically located at 2120 W 8th St, Los Angeles CA, 90057-4019. NPI Number Carl Anthony Gradford has the Individual type.

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1134329386 NPI number is provided on an as is basis without warranty of any kind. 1134329386 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Anthony Gradford are for informational purposes only.