Angela R Degraffenreid, MSOTRL

NPI #1275081473 in Cotati, California

Provider Information

NPI Number: 1275081473
Entity Type: Individual
Name: Angela R Degraffenreid, MSOTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MSOTRL
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 58 WILLIAM ST
City: Cotati
State: California
ZIP Code: 94931-4236
Phone: (707) 318-4077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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