| 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 |
Tammie Diane Clark, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9324 Taylor St E, Edgewood, WA 98371 Phone: 770-910-2743 | |
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 |