Individual
IRENE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
38883 HWY 299, WILLOW CREEK, CA 95573-0726
(530) 629-3111
(530) 629-3122
Mailing address
670 9TH ST, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
798692
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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