Individual
BARBARA ICYLIN GRAHAM-SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 LA COSTA LN, WESTON, FL 33326-1486
(954) 815-2575
Mailing address
202 LA COSTA LN, WESTON, FL 33326-1486
(954) 815-2575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9163740
FL
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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