Individual
MAURICE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
6178 OXON HILL RD STE 300, OXON HILL, MD 20745-3123
(240) 210-5520
Mailing address
17114 MADRILLON WAY, ACCOKEEK, MD 20607-3464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R214331
MD
Other
Enumeration date
07/11/2016
Last updated
03/06/2020
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