Individual
KRISTA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
Mailing address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
820999
CA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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