Individual
CARLA J GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SHAWNEE DR S, BEDFORD, IN 47421-5287
(812) 675-4154
Mailing address
3100 SHAWNEE DR S, BEDFORD, IN 47421-5287
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
28205916A
IN
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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