Individual
WILLIEMAE PATRICIA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1268 WOODBROOK CIR W, COLUMBUS, OH 43223-3192
(614) 749-3593
Mailing address
1268 WOODBROOK CIR W, COLUMBUS, OH 43223-3192
(614) 749-3593
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
323038530800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323038530800
STATE TESTED NURSING ASSITANT
OH
Enumeration date
10/21/2012
Last updated
10/21/2012
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