Orawan Graham, MA60035121

NPI #1669621074 in Lacey, Washington

Provider Information

NPI Number: 1669621074
Entity Type: Individual
Name: Orawan Graham, MA60035121
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MA60035121
Enumeration Date: Sep 10, 2008
Last Updated: Sep 10, 2008

Practice Location

Address: 4444 LACEY BLVD SE STE E
City: Lacey
State: Washington
ZIP Code: 98503-5730
Phone: (360) 438-1998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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