Individual
JEVON WALI GRAY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 CAPT G BOURGEOIS ST, LA PLACE, LA 70068-4717
(504) 913-4424
Mailing address
341 CAPT G BOURGEOIS ST, LA PLACE, LA 70068-4717
(504) 913-4424
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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