Individual
ADAM DAVID GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17111 GOLDENWEST ST., APT. S7, HUNTINGTON BEACH, CA 92467
(951) 537-8924
Mailing address
17111 GOLDENWEST ST APT S7, HUNTINGTON BEACH, CA 92647-5408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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