Individual
STACEY ELIZABETH GRAYBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N NORMA ST, SUITE 133, RIDGECREST, CA 93555-2575
(760) 499-7406
Mailing address
628 W JOYNER AVE, RIDGECREST, CA 93555-3108
(760) 499-7419
Taxonomy
Speciality
Code
Description
License number
State
1744R1103X
Research Study Abstracter/Coder
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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