Individual
ALLYSON RAE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-8900
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-8900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002051197
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437137734
—
VA
Enumeration date
08/26/2008
Last updated
08/26/2008
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