Individual
MR. BARRY GRAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 OAKLAND AVE, OAKLAND, CA 94611-4567
(510) 318-6118
Mailing address
629 OAKLAND AVE, OAKLAND, CA 94611-4567
(510) 318-6118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
04/06/2017
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