Individual
TERRI S GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
902 ANN STREET, MADISON, WI 53713-2498
(262) 549-6600
(262) 549-6698
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30948331
WI
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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