Individual
OLIVIA LEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 COMMERCE ST, WELLSBURG, WV 26070-1567
(304) 737-4435
Mailing address
1006 COMMERCE ST, WELLSBURG, WV 26070-1567
(304) 737-4435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2530
WV
Other
Enumeration date
11/24/2020
Last updated
06/26/2023
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