Individual
HANNAH NICOLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4710 N 5TH ST, PHOENIX, AZ 85012-1738
(269) 823-8188
Mailing address
15757 N 90TH PL APT 2186, SCOTTSDALE, AZ 85260-2015
(269) 823-8188
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1669
AZ
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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