Individual
TARA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 TOWN CENTER SQ STE 102, HATTIESBURG, MS 39402-7040
(800) 945-9479
Mailing address
205 STEWART RD, CORRY, PA 16407-3931
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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