Individual
BEVERLY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 733-3488
Mailing address
PO BOX 4077, HARTFORD, CT 06147-4077
(860) 990-7757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN93726
MA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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