Individual
KISHA L GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 VINCITOR ST, LAS VEGAS, NV 89135-3224
(616) 723-4239
Mailing address
4550 KAREN AVE APT 135, LAS VEGAS, NV 89121-7628
(616) 723-4239
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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