Individual
MRS. SOCORRO GRAPILON FAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSGC
Contact information
Practice address
2820 W CHARLESTON BLVD # C23, LAS VEGAS, NV 89102-1942
(702) 437-4673
Mailing address
7768 BOSWELL CT, LAS VEGAS, NV 89139-5791
(310) 508-2815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000087446
NV
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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