Individual
JEANINE LEE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
983 SONOMA AVE, SANTA ROSA, CA 95404-4818
(707) 362-0941
Mailing address
308 SANTA ROSA AVE APT SUITE, SANTA ROSA, CA 95404-4910
(707) 362-0941
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
02/25/2026
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