Individual
MRS. LUCINDA JEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1127 GRANDVIEW AVE SW, CANTON, OH 44710-1409
(330) 412-4138
Mailing address
1127 GRANDVIEW AVE SW, CANTON, OH 44710-1409
(330) 412-4138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN198731
OH
163WS0200X
School Registered Nurse
Primary
RN198731
OH
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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