Gloria Graham

NPI 1376704866 - Licensed Psychiatric Technician - 167G00000X

NPI Details
NPI 1376704866
Gender Female
Enumeration Date 06/18/2008
Last Updated 06/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7922 PALM ST
LEMON GROVE CA, 91945-2956, US
Phone (619) 464-3488
Fax
Business Location
4355 46TH ST
#16
SAN DIEGO CA, 92115-4349, US
Phone
Fax
Toxanomy
Taxonomy Code 167G00000X
License State California
License Number 25587
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According to our database, Gloria Graham NPI is 1376704866, taxonomy code is 167G00000X and license number is 25587, license state is located at California. Gloria Graham physically located at 7922 Palm St, Lemon Grove CA, 91945-2956. NPI Number Gloria Graham has the Individual type.

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1376704866 NPI number is provided on an as is basis without warranty of any kind. 1376704866 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria Graham are for informational purposes only.