Individual
JEFFREY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 E T O BLVD STE 201, THOUSAND OAKS, CA 91362-2837
(805) 557-0610
(805) 557-0692
Mailing address
1325 E T O BLVD STE 201, THOUSAND OAKS, CA 91362-2837
(805) 557-0610
(805) 557-0692
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
564700029
CA
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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