Individual
JAMIE L. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PED
Contact information
Practice address
5321 BRANDYWINE PKWY, WILMINGTON, DE 19803-1471
(302) 230-3062
(302) 230-3045
Mailing address
5321 BRANDYWINE PKWY, WILMINGTON, DE 19803-1471
(302) 230-3062
(302) 230-3045
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
CPED3080
DE
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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