Individual
DAVID LASHAWN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(678) 379-8559
Mailing address
93 SENECA ST, PONTIAC, MI 48342-2350
(678) 379-8559
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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