Individual
KAYLA EBONY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5124 F ST SE, WASHINGTON, DC 20019-6025
(202) 660-3407
(202) 660-3407
Mailing address
5124 F ST SE, WASHINGTON, DC 20019-6025
(202) 660-3407
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70424655
—
DC
Enumeration date
06/18/2022
Last updated
06/18/2022
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