Individual
ERICA DANETTA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
42 CHAPEL HILL DR, FAIRFIELD, OH 45014-5282
(513) 824-4960
Mailing address
42 CHAPEL HILL DR, FAIRFIELD, OH 45014-5282
(513) 824-4960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
538789
OH
164W00000X
Licensed Practical Nurse
LPN.183635.MEDS.-IV
OH
376K00000X
Nurse's Aide
501075670206
OH
Other
Enumeration date
01/12/2012
Last updated
01/18/2025
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