Individual
TAERYNN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 RAINBOW CIR, KOKOMO, IN 46902-3636
(765) 233-0767
Mailing address
305 RAINBOW CIR, KOKOMO, IN 46902-3636
(765) 233-0767
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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