Individual
KANOSHA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 PARK TOWN ST, NORTH LAS VEGAS, NV 89032-7880
(702) 502-1018
Mailing address
3320 PARK TOWN ST, NORTH LAS VEGAS, NV 89032-7880
(702) 502-1018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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