Individual
DARLENE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 COBURN CT, FORT MILL, SC 29715-6918
(609) 254-6336
(803) 396-0810
Mailing address
109 COBURN CT, FORT MILL, SC 29715-6918
(609) 254-6336
(803) 396-0810
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
467077
SC
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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