Individual
KELLY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2526
Mailing address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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