Individual
MARTHA JEAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
26991 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6528
(949) 582-2002
(949) 367-5200
Mailing address
2742 DOW AVE, TUSTIN, CA 92780-7242
(714) 665-1600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R166117
TN
Other
Enumeration date
09/02/2006
Last updated
03/31/2011
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