Trista T Graham
NPI #1205428513 in Rainelle, West Virginia
Provider Information
- NPI Number
- 1205428513
- Entity Type
- Individual
- Name
- Trista T Graham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 8, 2021
- Last Updated
- Feb 8, 2021
Practice Location
- Address
- 1282 SEWELL ST S
- City
- Rainelle
- State
- West Virginia
- ZIP Code
- 25962-7140
- Phone
- (304) 661-0657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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