Individual
OCTAVIA DANIELLE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11306 8TH ST E, EDGEWOOD, WA 98372-1147
(253) 392-2135
Mailing address
400 WHEELER ST S APT 212, PARKLAND, WA 98444-3600
(253) 307-5138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61249274
WA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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