Individual
TINA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
943 N MARION AVE, LAKE CITY, FL 32055-1541
(386) 752-8030
Mailing address
943 N MARION AVE, LAKE CITY, FL 32055-1541
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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