Individual
DAVID RAY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
6501 MOTOR AVE SW, LAKEWOOD, WA 98499-1579
(253) 588-3410
Mailing address
6501 MOTOR AVE SW, LAKEWOOD, WA 98499-1579
(253) 588-3410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60065390
WA
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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