Individual provider · NPI-1

Bridgette Lashawn Graham

Adult Companion · Ocala, FL

NPI number1326786229
StatusActive
Last updated in NPPESMay 22, 2022

Details

NPI
1326786229
Entity type
Individual (NPI-1)
Name
Bridgette Lashawn Graham
Sex
Female
Sole proprietor
Yes
Enumeration date
May 22, 2022
Certification date
May 22, 2022
Last updated
May 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion–FLYes

Practice location

6 Hemlock Circle Trak
Ocala, FL 34472-6258

Phone 352-877-5877

Mailing address

6 Hemlock Circle Trak
Ocala, FL 34472-6258

Phone 352-877-5877

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