Individual
BRENDA L GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 645, PONCA, NE 68770-0645
(402) 360-4480
Mailing address
PO BOX 645, PONCA, NE 68770-0645
(402) 360-4480
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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