Individual
SARA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1050 MEMORIAL DR, IDAHO FALLS, ID 83402-3410
(208) 419-6283
Mailing address
1055 11TH ST, IDAHO FALLS, ID 83404-5013
(208) 419-6283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57510
ID
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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