Individual
JAZMIN MECARRA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4830 RUCKER RD, MONETA, VA 24121-5281
(540) 297-7181
(540) 297-6145
Mailing address
4830 RUCKER RD, MONETA, VA 24121-5281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-008331
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
12/30/2022
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