Whalio Doctors

NPI 1679188684

Lavonna Sue Graham, CNA

Practitioner Nurse's Aide Beckley, WV

Practice location

Address
130 George St, Beckley, WV 25801-2648
Phone
(304) 929-2669
Mailing address
PO Box 585, Fairdale, WV 25839-0585

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 76652 (WV)

Registry record

NPI
1679188684
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Sep 2020
Record last updated
15 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.