Graham, Antiba
Graham, Antiba is an individual health care provider with primary practice located at 506 W Jackman St , Lancaster CA 93534-2531. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Graham, Antiba can be contacted via phone (661) 726-2850.Contact Information
Primary practice address
506 W Jackman St
Lancaster CA 93534-2531
Phone: (661) 726-2850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106710 | California |
Profile Details
| NPI number | 1730589193 |
|---|---|
| LBN Legal business name | Graham, Antiba |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2014 |
| Last updated | Aug 1st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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