Debra Vandergriend

NPI 1467658757 · on the registry since 2007 · sole proprietor

Practice

Address: 914 Mission Ave Fl 3
San Rafael, CA 94901
Phone: (415) 457-6964
Organisation at this address: Carlos Barahona
Buckelew Programs
Buckelew Programs
Buckelew Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 86

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California