Individual
MS. DENICE L GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1833 W MCKINLEY AVE, MILWAUKEE, WI 53205-2033
(414) 810-3109
Mailing address
1833 W MCKINLEY AVE, MILWAUKEE, WI 53205-2033
(414) 810-3109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133540-30
WI
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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