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Individual

ASHLEY GABERIELA GRAJEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
01/31/2020
Last updated
06/28/2023
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