Individual
JACQUELINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
566 WHITE POND DR STE E, AKRON, OH 44320-1116
(330) 535-7100
Mailing address
55 ARCH ST STE 1B, AKRON, OH 44304-1436
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.139803
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
08/13/2020
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