Individual
JIMBELL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403
(314) 226-8010
Mailing address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
01/20/2021
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