Individual
KATRICIA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19800 MONTE VISTA ST, DETROIT, MI 48221-1476
(313) 551-1226
Mailing address
19800 MONTE VISTA ST, DETROIT, MI 48221-1476
(313) 551-1226
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
142899731
MI
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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