Provider Demographics
NPI:1679081319
Name:BARAJAS-GRAHAM, EULALIA CIDELA (PA)
Entity Type:Individual
Prefix:
First Name:EULALIA
Middle Name:CIDELA
Last Name:BARAJAS-GRAHAM
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340-1951
Practice Address - Country:US
Practice Address - Phone:910-628-0655
Practice Address - Fax:910-628-0158
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2023-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-08086363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant