Individual
TERRY GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11640 S. PINE ST., OLATHE, KS 66061
(314) 652-4100
Mailing address
11640 S. PINE ST., OLATHE, KS 66061
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
08/13/2020
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