Individual
MS. DEBRA E GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
391 W HERNDON ST, HERNANDO, FL 34442-5118
(352) 746-3282
Mailing address
391 W HERNDON ST, HERNANDO, FL 34442-5118
(352) 746-3282
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1429042
FL
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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