Individual
ADRIA MARISSA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1625 SCHRADER BLVD FL 3, LOS ANGELES, CA 90028-6213
(323) 993-7500
(323) 308-4449
Mailing address
1625 SCHRADER BLVD FL 3, LOS ANGELES, CA 90028-6213
(323) 993-7500
(323) 308-4449
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
54935
—
Other
Enumeration date
09/22/2016
Last updated
04/27/2018
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