Individual
SURPRISE DONNA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6405 GRACELY DR APT 2, CINCINNATI, OH 45233-1257
(513) 915-1445
Mailing address
6405 GRACELY DR APT 2, CINCINNATI, OH 45233-1257
(513) 915-1445
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402143470219
OH
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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