Individual
DARRON GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 GRAND CONCOURSE, APT 5B, BRONX, NY 10451-3106
(912) 484-8655
Mailing address
750 GRAND CONCOURSE, APT 5B, BRONX, NY 10451-3106
(912) 484-8655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297810-1
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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