Individual
ROSE GRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7894
Mailing address
BLDG 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(334) 255-7894
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-060494
AL
164W00000X
Licensed Practical Nurse
220648
TX
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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