Individual
DR. LESLIE EILEEN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
347 ANDRIEUX ST, SONOMA, CA 95476-6811
(707) 935-5100
Mailing address
PO BOX 10609, WESTMINSTER, CA 92685-0609
(707) 935-5100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G76651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G766510
—
CA
Enumeration date
04/07/2008
Last updated
07/29/2008
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