Individual
NIESHA QIANA GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4812 MERRIFIELD PL, UPPER ARLINGTON, OH 43220-5435
(313) 433-0151
Mailing address
4812 MERRIFIELD PL, UPPER ARLINGTON, OH 43220-5435
(313) 433-0151
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
OH
343900000X
Non-emergency Medical Transport (VAN)
—
OH
372500000X
Chore Provider
—
OH
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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