Individual
CHRIS GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15520 WINONA ST, VICTORVILLE, CA 92395-5500
(909) 513-0628
Mailing address
15520 WINONA ST, VICTORVILLE, CA 92395-5500
(909) 513-0628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
53678
CA
Other
Enumeration date
12/29/2010
Last updated
08/12/2024
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