Individual
MILEENA GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2448 CHESAPEAKE SQUARE RING RD, CHESAPEAKE, VA 23321-2173
(757) 488-6916
(757) 465-2030
Mailing address
2448 CHESAPEAKE SQUARE RING RD, CHESAPEAKE, VA 23321-2173
(757) 488-6916
(757) 465-2030
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004379
VA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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