Individual
MS. YATIA LAQUE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4399 PORTSMOUTH BLVD APT 2A, PORTSMOUTH, VA 23701-2553
(757) 818-2236
Mailing address
4399 PORTSMOUTH BLVD APT 2A, PORTSMOUTH, VA 23701-2553
(757) 818-2236
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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