Individual
JENNIFER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1ARH LANE, LOW MOOR, VA 24457
(540) 862-6011
Mailing address
5008 MIDLAND TRL, COVINGTON, VA 24426-5308
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
05135
VA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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