Graham, Tandrea

Graham, Tandrea is an sole proprietor health care provider with primary practice located at 628 Old Wagner Rd , Petersburg VA 23805-9319. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Graham, Tandrea can be contacted via phone (804) 605-6146.

Contact Information

Primary practice address
628 Old Wagner Rd Petersburg VA 23805-9319
Phone: (804) 605-6146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 3442 Virginia

Profile Details

NPI number 1740889872
LBN Legal business name Graham, Tandrea
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2020
Last updated Oct 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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