Individual
ANGELA R DEGRAFFENREID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
58 WILLIAM ST, COTATI, CA 94931-4236
(707) 318-4077
Mailing address
58 WILLIAM ST, COTATI, CA 94931-4236
(707) 318-4077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10339
CA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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