Individual
MS. ELIZABETH AHYIN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., C.M.T.
Contact information
Practice address
1201 HOWARD AVE, 206, BURLINGAME, CA 94010-4242
(650) 619-5830
Mailing address
1201 HOWARD AVE, 206, BURLINGAME, CA 94010-4242
(650) 619-5830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT042001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56580
CAMTC
CA
Enumeration date
08/22/2008
Last updated
05/20/2013
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