Shitice Graves
Driver in Glendale, AZ. Individual provider (NPI-1).
NPI number1053201780
StatusActive
Last updated in NPPESJul 4, 2025
Details
- NPI
- 1053201780
- Entity type
- Individual (NPI-1)
- Name
- Shitice Graves
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2025
- Certification date
- Jul 4, 2025
- Last updated
- Jul 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
6751 N Sunset Blvd Ste 320Glendale, AZ 85305-3155
Phone 888-899-5409
Mailing address
6751 N Sunset Blvd Ste 320Glendale, AZ 85305-3155
Phone 888-899-5409
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All 9 Driver providers in Glendale · All 7,642 providers in Glendale
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