Individual
PORSIA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HAMILTON AVE, FORDS, NJ 08863-1916
(732) 890-9015
Mailing address
99 NEW ST APT 428, METUCHEN, NJ 08840-1978
(732) 895-9015
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
NJ
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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