ETHAN HARGRAVE

Licensed Practical Nurse

NPI: 1528945284Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

354023(NY)

Contact & Hours

Address: 1793 OUTLET RD
PENN YAN, NY 14527
Phone: (302) 494-7186

Quick Facts

NPI: 1528945284
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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