Individual
MRS. ANISA MARIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST/MA
Contact information
Practice address
5091 BREEZEWOOD CT, INDIAN HEAD, MD 20640-3731
(301) 710-7674
(240) 903-2126
Mailing address
5091 BREEZEWOOD CT, INDIAN HEAD, MD 20640-3731
(301) 710-7674
(240) 903-2126
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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