Provider Demographics
NPI:1295350668
Name:GRAFF, BETTE
Entity type:Individual
Prefix:
First Name:BETTE
Middle Name:
Last Name:GRAFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BETTE
Other - Middle Name:
Other - Last Name:GRAFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4148 10TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-3110
Mailing Address - Country:US
Mailing Address - Phone:951-781-9327
Mailing Address - Fax:
Practice Address - Street 1:4148 10TH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3110
Practice Address - Country:US
Practice Address - Phone:951-781-9327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty