Individual
VENUS YVONNE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16950 MARTIN RD, ROSEVILLE, MI 48066-4331
(313) 523-9164
Mailing address
16950 MARTIN RD, ROSEVILLE, MI 48066-4331
(313) 523-9164
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704207747
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704207747
NURSING LICIENCE
MI
Enumeration date
09/24/2012
Last updated
09/24/2012
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