Individual
MEGAN MARIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/ CHW
Contact information
Practice address
809 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3062
(505) 934-9506
Mailing address
809 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3062
(505) 934-9506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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