Individual
MRS. CYNTHIA RUTH GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
149 PR 3384 G, KEMPNER, TX 76539
(254) 542-5032
Mailing address
149 PR 3384 G, KEMPNER, TX 76539
(254) 542-5032
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
143703
TX
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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