| NPI | 1477866788 |
|---|---|
| Other Name | DIEP DEGRAZIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11715) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001188) |
| 152W00000X Optometrist (Licence: HI 683) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2014-01-24 |