Search › California › 167G00000X
Elizabeth Degravio
NPI 1497167530 · on the registry since 2014 · sole proprietor
Practice
- Address
- 10904 Lands End Dr
Stockton, CA 95209 - Phone
- (209) 986-5996
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-23
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