Individual
TIFFANY L GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
889357
TX
163WC2100X
Continence Care Registered Nurse
889357
TX
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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