ELIZABETH DEGRAVIO

Licensed Psychiatric Technician

Active Individual
NPI: 1497167530

Practice Address

10904 LANDS END DR
Stockton, CA 95209

Phone: (209) 986-5996

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes 37500 (CA)

Frequently Asked Questions

NPI 1497167530 is the National Provider Identifier for ELIZABETH DEGRAVIO, a Licensed Psychiatric Technician provider located in Stockton, CA. This NPI was enumerated on May 23, 2014.
ELIZABETH DEGRAVIO practices at 10904 LANDS END DR, Stockton, CA 95209.

Quick Facts

NPI
1497167530
Type
Individual
Enumerated
May 23, 2014
Last Updated
May 23, 2014

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