Individual
ANGELA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 XENIA ST SE APT 202, WASHINGTON, DC 20032-6137
(202) 836-5363
Mailing address
4800 NANNIE HELEN BURROUGHS AVE NE APT 114, WASHINGTON, DC 20019-3684
(202) 836-5363
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70185538
—
DC
Enumeration date
05/31/2019
Last updated
05/31/2019
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