Individual
MS. DENISE MARIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1430 E FAIRBANKS ST, TACOMA, WA 98404-3810
(253) 298-8493
Mailing address
1430 E FAIRBANKS ST, TACOMA, WA 98404-3810
(253) 298-8493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60371878
WA
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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