ALAINA RENEE GRAHAM

SAN DIEGO, CA
NPI1972079671
Former NameALAINA RENEE BROUCKAERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  63772)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5601008894)
Enumeration Date2018-10-19
Last Update Date2024-02-05
Business Address
ALAINA RENEE GRAHAM PA-C
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2300
Mailing Address
ALAINA RENEE GRAHAM PA-C
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300