Individual
BRENDAN GRAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, CNIM
Contact information
Practice address
20331 IRVINE AVE, NEWPORT BEACH, CA 92660-0223
(877) 987-7729
Mailing address
1222 N OLIVE DR APT 306, WEST HOLLYWOOD, CA 90069-2773
(978) 417-1647
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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