Individual
MARIANNE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1106 WEATHERED ST, IRVING, TX 75062-6642
(661) 644-5965
Mailing address
1106 WEATHERED ST, IRVING, TX 75062-6642
(661) 644-5965
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-17122
TX
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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