Individual
ASHLEY M GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4315 LONDONDERRY RD, HARRISBURG, PA 17109-5318
(717) 909-0290
(717) 909-0292
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN003855
PA
133V00000X
Registered Dietitian
DN003855
PA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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