Individual
BETHANY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 GEORGIA AVE, ELYRIA, OH 44035-7134
(440) 396-4337
Mailing address
416 GEORGIA AVE, ELYRIA, OH 44035-7134
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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