DEONNA GRAHAM NPI 1225565831

NPI Information

Deonna Graham is a day training habilitation specialist in Bethel, AK. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Deonna Graham NPI is 1225565831. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 RIDGECREST DRIVE
SUITE 214
BETHEL, AK
ZIP 99559-528
Phone: (907) 543-2762
Fax: (907) 543-3152

The enumeration date for this NPI number is 5/12/2017 and was last updated on 5/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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