Individual
MRS. KAREN M GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6191 CARSTEN RD, MEDINA, OH 44256-9197
(330) 722-3553
Mailing address
3928 DEER LAKE DR, MEDINA, OH 44256-6900
(330) 722-8956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 166611
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408282
—
OH
Enumeration date
09/30/2006
Last updated
07/09/2007
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