Individual
MISS ETHEL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6238 RYERSON CIR, APT. 7, WESLEY CHAPEL, FL 33544-5343
(813) 994-9473
Mailing address
6238 RYERSON CIR, APT. 7, WESLEY CHAPEL, FL 33544-5343
(813) 994-9473
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
230042
FL
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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