Individual
CASSIE GRAYDON LA BARREARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 940-4055
Mailing address
595 LYNNETTE CIR, VISTA, CA 92084-3724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017600
CA
Other
Enumeration date
06/21/2021
Last updated
11/12/2024
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