Individual
ANJALIE ROSE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-RX
Contact information
Practice address
75-5751 KUAKINI HWY, KAILUA KONA, HI 96740-1752
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY, KAILUA KONA, HI 96740-1752
(808) 326-5629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-1362
HI
363LF0000X
Family Nurse Practitioner
RX-338
HI
Other
Enumeration date
07/21/2011
Last updated
10/09/2013
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