Individual
GRAHAM KENDRICK ELEAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25864 BUSINESS CENTER DR STE C, REDLANDS, CA 92374-4515
(951) 454-4398
Mailing address
10720 RIDGEFIELD TER, MORENO VALLEY, CA 92557-3807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53824
CA
Other
Enumeration date
07/03/2026
Last updated
07/03/2026
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