Individual
TANYA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58923 BUSINESS CENTER DR STE E, YUCCA VALLEY, CA 92284-7311
(760) 365-7209
(760) 228-2887
Mailing address
58923 BUSINESS CENTER DR STE E, YUCCA VALLEY, CA 92284-7311
(760) 365-7209
(760) 228-2887
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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