Most Relevant Information
Provider Data
| NPI Number: | 1003077348 |
| Provider Name: | DAHARLIKA DEGRACIA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2008 |
| Last Updated: | 08/04/2012 |
Provider Practice Location
1260 MORENA BLVD STE 100
SAN DIEGO
CA
921103850
Practice Location Phone/Fax
| Phone: | 6193980355 |
| Fax: |
Provider Mailing Location
1260 MORENA BLVD STE 100
SAN DIEGO
CA
921103850
Provider Mailing Phone/Fax
| Phone: | 6193980355 |
| Fax: |