Individual
MRS. EKOP GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6510 KENILWORTH AVE, STE 2700, RIVERDALE, MD 20737-1353
(301) 447-0115
Mailing address
P O BOX 6883, CHRISITIANSTED, USVI 00823
34071908761
(340) 719-8764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R155406
MD
Other
Enumeration date
09/20/2016
Last updated
11/18/2020
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