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Individual

MISS DAPHNE GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2241 W WILLIAMS ST, LONG BEACH, CA 90810-3652
(562) 388-8183
Mailing address
6618 SEVILLE AVE, APARTMENT 109, HUNTINGTON PARK, CA 90255-4866
(323) 835-6266

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
06/20/2013
Last updated
06/20/2013
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