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NPI Code Detail

MEDICARE: MISS DAPHNE GRAVES

MEDICARE: MISS DAPHNE GRAVES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1750720975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DAPHNE GRAVES
Provider Business Mailing Address
First Line : 6618 SEVILLE AVE
Second Line : APARTMENT 109
City : HUNTINGTON PARK
State : CA
Zip : 90255-4866
Country : US
Telephone Number : 323-835-6266
Fax Number :
Provider Business Practice Location Address
First Line : 2241 W WILLIAMS ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3652
Country : US
Telephone Number : 562-388-8183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2013
Last Update Date : 06/20/2013

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Directions to “ MISS DAPHNE GRAVES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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