Individual
DEANNA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 EXPOSITION PL STE 171, RALEIGH, NC 27615-1563
(919) 601-4328
Mailing address
700 EXPOSITION PL STE 171, RALEIGH, NC 27615-1563
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LBMT 6782
NC
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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