Individual
VIRGINIA NAVA GRADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1281 N STATE ST, UNIT A413, SAN JACINTO, CA 92583-6313
(951) 795-9575
Mailing address
1281 N STATE ST, UNIT A413, SAN JACINTO, CA 92583-6313
(951) 795-9575
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00797325
CA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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