JASON WILLIAM DEGRAFF

OAKLAND, CA
NPI1104562701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95029925)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95165644)
Enumeration Date2022-05-07
Last Update Date2024-05-30
Business Address
JASON WILLIAM DEGRAFF AGACNP-BC
1520 MADISON ST APT 108
OAKLAND, CA 94612-4507
Phone number: 816-551-7261
Mailing Address
JASON WILLIAM DEGRAFF AGACNP-BC
143 S BURLINGTON AVE APT 207
LOS ANGELES, CA 90057-5211
Phone number: 816-551-7261