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Contact Information

JEANNINE GRAHAM
10205 LILY GREEN CT
UPPER MARLBORO, MD20772-6665
 Phone: 240-441-5851
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Broker

347E00000X
Indicates primary specialty

NPI Profile & details for JEANNINE GRAHAM · (Female)

NPI Number 1124668421
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2020
Last updated 01/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • Other NA NO OTHER PROVIDER IDENTIFIERS AT THIS TIME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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