NPI 1740889872

Tandrea Graham, MSW

Practitioner Community Health Worker Petersburg, VA

Practice location

Address: 628 Old Wagner Rd, Petersburg, VA 23805-9319
Phone: (804) 605-6146
Mailing address: 3550 Westbriar Ln, North Dinwiddie, VA 23803-8422

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 3442 (VA)

Other Community Health Worker providers in Virginia →

Registry record

NPI: 1740889872
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2020
Record last updated: 20 Oct 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.