Individual
GRAHAM HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 932-7048
Mailing address
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 932-7048
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
ID
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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