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Search › Maryland › 1041C0700X

Kandice Graham

NPI 1417715897 · on the registry since 2024 · sole proprietor

Practice

Address
329 Possum Ct
Capitol Heights, MD 20743
Phone
(202) 460-4621
Organisation at this address
Fareryder Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 6323 Georgia Ave Nw Ste 360, Washington, DC

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland