Individual
MRS. SANDRA ANN GRAICHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E BLOOMFIELD ST, ROME, NY 13440-5300
(315) 338-5314
(315) 338-5306
Mailing address
620 E BLOOMFIELD ST, ROME, NY 13440-5300
(315) 338-5314
(315) 338-5306
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
486052-1
NY
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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