Individual
DOMINIC GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E ANTELOPE AVE, WOODLAKE, CA 93286-1506
(559) 679-6311
Mailing address
160 E ANTELOPE AVE, WOODLAKE, CA 93286-1506
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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