Graham-Bullock, Erica Rene

Graham-Bullock, Erica Rene is an sole proprietor health care provider with primary practice located at 3656 Ginger St , Perris CA 92571-7825. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Graham-Bullock, Erica Rene can be contacted via phone (818) 818-1817.

Contact Information

Primary practice address
3656 Ginger St Perris CA 92571-7825
Phone: (818) 818-1817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 331881331 California

Profile Details

NPI number 1063284875
LBN Legal business name Graham-Bullock, Erica Rene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2023
Last updated Oct 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers