Octavia Danielle Graves, | |
11306 8th St E, Edgewood, WA 98372-1147 | |
(253) 392-2135 | |
Not Available |
Full Name | Octavia Danielle Graves |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 11306 8th St E, Edgewood, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285418145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LP61249274 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Octavia Danielle Graves, 400 Wheeler St S Apt 212, Parkland, WA 98444-3600 Ph: (253) 307-5138 | Octavia Danielle Graves, 11306 8th St E, Edgewood, WA 98372-1147 Ph: (253) 392-2135 |
Guadalupe Carrillo Guzman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11306 8th St E, Edgewood, WA 98372 Phone: 253-944-9028 | |
Ercia Devaux, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11306 8th St E, Edgewood, WA 98372 Phone: 253-944-9028 | |
Sheri Martin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11306 8th St E, Edgewood, WA 98372 Phone: 253-944-9028 |