Organization
JEANNE T GRAHAM, DOM,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE T GRAHAM A.P., LAC (CHIEF OFFICER)
(941) 350-4723
Entity
Organization
Contact information
Practice address
950 S TAMIAMI TRL, SUITE 205, SARASOTA, FL 34236-7840
(941) 350-4723
Mailing address
5623 RAVENWOOD DR, SARASOTA, FL 34243-5209
(941) 350-4723
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2644
FL
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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