Individual
SHOHREH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4240 WALNUT FAMILY CT, LAS VEGAS, NV 89115-4111
(323) 357-2591
Mailing address
4240 WALNUT FAMILY CT, LAS VEGAS, NV 89115-4111
(323) 357-2591
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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