Individual
DANETTE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35220 W BUCKEYE RD, TONOPAH, AZ 85354-7542
(623) 474-5115
Mailing address
1107 N 382ND LN, TONOPAH, AZ 85354-8234
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN199036
AZ
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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