NPI 1013687722
Eddie Ralph Grijalva
Practice location
- Address
- 1412 17th St, Bakersfield, CA 93301-5211
- Phone
- (661) 293-5426
- Mailing address
- 1412 17th St STE 357, Bakersfield, CA 93301-5211
Registered specialties
Driver
Primary
Registry record
- NPI
- 1013687722
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Sep 2021
- Record last updated
- 14 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.