Individual
GWENDOLYN R GRAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5078 FAR HILLS AVE, KETTERING, OH 45429-2308
(616) 548-1002
Mailing address
5078 FAR HILLS AVE, KETTERING, OH 45429-2308
(616) 548-1002
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
5718742
OH
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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