Aretha Graves
Driver in Dolphin, VA. Individual provider (NPI-1).
NPI number1669997409
StatusActive
Last updated in NPPESAug 12, 2017
Details
- NPI
- 1669997409
- Entity type
- Individual (NPI-1)
- Name
- Aretha Graves
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2017
- Last updated
- Aug 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | T69506265 | VA | Yes |
Practice location
214 Pitch Kettle RdDolphin, VA 23843-2122
Phone 434-532-3502
Mailing address
214 Pitch Kettle RdDolphin, VA 23843-2122
Phone 434-532-3502
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