Individual
BRENDA LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7751 BYRON CENTER AVE SW, SUITE C, BYRON CENTER, MI 49315-8001
(616) 267-7668
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704218257
MI
Other
Enumeration date
01/25/2006
Last updated
08/18/2014
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