Individual
SHELLEY RAE GRAHAM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
2201 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8844
(727) 893-6027
(727) 893-6956
Mailing address
2201 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8844
(727) 893-6027
(727) 893-6956
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
9830
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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