Individual
CAROL ANDREA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19193 FORRER ST, DETROIT, MI 48235-2302
(313) 483-2183
Mailing address
19193 FORRER ST, DETROIT, MI 48235-2302
(313) 483-2183
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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