Individual
CAVOSANY GRAYMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
578 DIVISION ST, BILOXI, MS 39530-2342
(228) 297-7711
Mailing address
PO BOX 554, BILOXI, MS 39533-0554
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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