Individual
LUANN ELY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N MAIN ST, BUILDING 1, ROOM 162, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 296-6476
Mailing address
74 BUTTERNUT RD, NORWICH, VT 05055-9790
(802) 649-3957
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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