Individual
MS. PRISCILLA ADDISON-GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12823 HUNTERBROOK DR, WOODBRIDGE, VA 22192-6596
(240) 441-2978
Mailing address
8332 RICHMOND HWY, SUITE 206, ALEXANDRIA, VA 22309-2341
(240) 441-2978
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000
—
VA
Enumeration date
08/20/2013
Last updated
08/20/2013
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