Individual
DANASHA LATIA OVERTON-GRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
480 HAZELWOOD TER, ROCHESTER, NY 14609-5302
(585) 224-9796
Mailing address
480 HAZELWOOD TER, ROCHESTER, NY 14609-5302
(585) 224-9796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295504-1
NY
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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