Individual
DENISE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 CITRUS BLVD STE B, LEESBURG, FL 34748-3018
(352) 608-9879
Mailing address
108 SUE LN, LADY LAKE, FL 32159-4395
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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