Individual
LISA BETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 6TH ST STE 11, LOS ANGELES, CA 90017-1800
(626) 354-9631
Mailing address
1111 W 6TH ST STE 11, LOS ANGELES, CA 90017-1800
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA4697
CA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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