Individual
DAVID GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
701 E CHANNEL ST, STOCKTON, CA 95202-2628
(209) 944-4700
Mailing address
3256 CUB CT, ANTIOCH, CA 94531-9357
(925) 354-3280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
742829
CA
Other
Enumeration date
05/19/2011
Last updated
01/25/2013
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