Individual
SHARYKA LANEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 MOZART WAY, INDIANAPOLIS, IN 46239-6928
(317) 456-6072
(317) 534-3739
Mailing address
2815 MOZART WAY, INDIANAPOLIS, IN 46239-6928
(317) 456-6072
(317) 534-3739
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
22-015753-1
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/23/2022
Last updated
09/27/2022
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