Individual
MS. STEPHANIE V. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
1809 TERMINO AVE, APT.#5301, LONG BEACH, CA 90815-2668
(909) 435-9126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
557212
CA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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