Individual provider · Type 1 NPI

Marissa Graham

Student in an Organized Health Care Education/Training Program · Santa Cruz, CA

NPI number 1629868237 Active

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Fax (831) 425-1905

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629868237

Marissa Graham's National Provider Identifier is 1629868237, issued on May 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 31, 2025.