Individual
SANDRA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 499-1750
Mailing address
3135 S 10TH ST, MILWAUKEE, WI 53215-4729
(414) 499-1750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168033-30
WI
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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