Individual
TAMMY JEANINE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7878 E FACTORY RD, WEST ALEXANDRIA, OH 45381-9509
(937) 529-1438
Mailing address
7878 E FACTORY RD, WEST ALEXANDRIA, OH 45381-9509
(937) 529-1438
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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