Individual
KRISTIN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 837-4719
Mailing address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07960900
NJ
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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