Lavern Graham, STUDENT
Lavern Graham, STUDENT is a Student in an Organized Health Care Education/Training Program in Gordonville, Texas. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
Gordonville, TXNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1104287499 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | STUDENT |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2016 |
| Last updated in NPPES | March 14, 2016 |