Erica Rene Graham-Bullock
NPI #1063284875 in Perris, California
Provider Information
- NPI Number
- 1063284875
- Entity Type
- Individual
- Name
- Erica Rene Graham-Bullock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 25, 2023
- Last Updated
- Oct 25, 2023
Practice Location
- Address
- 3656 GINGER ST
- City
- Perris
- State
- California
- ZIP Code
- 92571-7825
- Phone
- (818) 818-1817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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