Individual
CHRISTINA ELIZABETH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 COLD SPRINGS RD APT 47, PLACERVILLE, CA 95667-4018
(530) 748-9358
Mailing address
2811 COLD SPRINGS RD APT 47, PLACERVILLE, CA 95667-4018
(530) 748-9358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D6333580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-089121
CASR
CA
Enumeration date
11/18/2008
Last updated
11/18/2008
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