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Jeannine Graham
Transportation Broker in Upper Marlboro, Maryland
NPI 1124668421

Jeannine Graham is a Transportation Broker based in Upper Marlboro, MD. Jeannine Graham practices in Upper Marlboro, MD. The NPI Number for Jeannine Graham is 1124668421 and holds a License No. (Maryland).

The current practice location address for Jeannine Graham is 10205 Lily Green Ct, Upper Marlboro, MD and can be reached out via phone at 240-441-5851.

Location: 10205 Lily Green Ct, Upper Marlboro, MD, 20772-6665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124668421
Provider Name
Jeannine Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
10205 Lily Green Ct, Upper Marlboro, MD, 20772-6665
Phone Number
240-441-5851
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NO OTHER PROVIDER IDENTIFIERS AT THIS TIME
institution
Provider Business Practice Location Address Details
Address
10205 Lily Green Ct
City
Upper Marlboro
State
Maryland
Zip
20772-6665
Phone Number
240-441-5851
Fax Number
person
Provider Business Mailing Address Details
Address
10205 Lily Green Ct
City
Upper Marlboro
State
Maryland
Zip
20772-6665
Phone Number
240-441-5851
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
(Maryland)
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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