Individual
MRS. PEGGY DIANNA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3021 HELGESON LANE, GRANTS PASS, OR 97527
(541) 218-7327
Mailing address
3021 HELGESON LANE, GRANTS PASS, OR 97527
(541) 218-7327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3781
OR
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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