Individual
RENE S GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 10TH AVE APT 7, PORT HURON, MI 48060-2882
(810) 388-1200
Mailing address
4076 WILSON DR, FORT GRATIOT, MI 48059-4099
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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