Individual
SHAWN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5490 BEECHMONT AVE APT 1, CINCINNATI, OH 45230-1148
(513) 966-8007
Mailing address
5490 BEECHMONT AVE APT 1, CINCINNATI, OH 45230-1148
(513) 966-8007
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266347
—
OH
Enumeration date
02/08/2023
Last updated
02/08/2023
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