Individual
JONELLE BETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2507
Mailing address
26063 AMABLE CT, VALENCIA, CA 91355-3303
(801) 380-0341
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20722
CA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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