Individual
MARY ELLEN GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7790
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7790
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN126118
AZ
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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