Provider Demographics
NPI:1215721592
Name:GRAHAM, YONEKE LEEANDRA (CNA)
Entity type:Individual
Prefix:
First Name:YONEKE
Middle Name:LEEANDRA
Last Name:GRAHAM
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 ENCHANTED SKY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8221
Mailing Address - Country:US
Mailing Address - Phone:732-277-0069
Mailing Address - Fax:
Practice Address - Street 1:4775 S DURANGO DR STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8157
Practice Address - Country:US
Practice Address - Phone:702-802-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant