Individual
MRS. KRISTAL PEARL GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3844 36TH TER S, APT A, SAINT PETERSBURG, FL 33711-4123
(727) 563-6691
Mailing address
3844 36TH TER S, APT A, SAINT PETERSBURG, FL 33711-4123
(727) 563-6691
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
CNA226231
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2010
Last updated
11/09/2010
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