Individual
AUDRA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 A ST, HAYWARD, CA 94541-4113
(510) 300-3600
Mailing address
24301 SOUTHLAND DR STE 300, HAYWARD, CA 94545-1546
(510) 300-3574
(877) 992-0038
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
08/12/2022
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