Individual
DEBRA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 B ST, SAN DIEGO, CA 92101-4520
(619) 615-0415
Mailing address
600 B ST, SAN DIEGO, CA 92101-4520
(619) 615-0415
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
21860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21860
LVN
CA
Enumeration date
04/01/2008
Last updated
04/01/2008
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