Individual
MRS. HEATHER LYNN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6153 FAIRMOUNT AVE STE 260, SAN DIEGO, CA 92120-3448
(619) 481-3790
(619) 481-3797
Mailing address
6153 FAIRMOUNT AVE STE 260, SAN DIEGO, CA 92120-3448
(619) 481-3790
(619) 481-3797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
831676
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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