Individual
JAMIA PALESTINE ELIZABETH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/HHA
Contact information
Practice address
3781 66TH AVE N, APT.B, PINELLAS PARK, FL 33781-6154
(727) 565-9607
(727) 828-9330
Mailing address
3781 66TH AVE N, APT.B, PINELLAS PARK, FL 33781-6154
(727) 565-9607
(727) 828-9330
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
CNA205076
FL
372600000X
Adult Companion
CNA205076
FL
374U00000X
Home Health Aide
CNA205076
FL
376K00000X
Nurse's Aide
Primary
CNA205076
FL
Other
Enumeration date
10/25/2014
Last updated
03/07/2016
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