Susan Louise Gray LVN

NPI 1407045719 - Counselor - 101YM0800X

NPI Details
NPI 1407045719
Gender Female
Enumeration Date 10/23/2007
Last Updated 10/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
102 W MAIN ST
SAN JACINTO CA, 92583-4121, US
Phone (951) 487-8376
Fax (951) 487-8458
Business Location
102 W MAIN ST
SAN JACINTO CA, 92583-4121, US
Phone (951) 487-8376
Fax (951) 487-8458
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number VN149539
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According to our database, Susan Louise Gray LVN NPI is 1407045719, taxonomy code is 101YM0800X and license number is VN149539, license state is located at California. Susan Louise Gray LVN physically located at 102 W Main St, San Jacinto CA, 92583-4121. NPI Number Susan Louise Gray LVN has the Individual type.

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1407045719 NPI number is provided on an as is basis without warranty of any kind. 1407045719 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Louise Gray LVN are for informational purposes only.