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Individual

AMITA LUTE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP

Contact information

Practice address
2020 SUTTER PL STE 203, DAVIS, CA 95616-6217
(530) 753-3498
(530) 758-2109
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(916) 854-6769

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
95100740
CA
174N00000X
Lactation Consultant (Non-RN)
10725971
AZ
363LW0102X
Women's Health Nurse Practitioner
95011742
CA
367A00000X
Advanced Practice Midwife
Primary
236037
CA

Other

Enumeration date
07/24/2013
Last updated
03/17/2026
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