Individual
DANIELLE LEE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4281 HULBERT RD, INTERLOCHEN, MI 49643-9622
(231) 275-4127
Mailing address
4281 HULBERT RD, INTERLOCHEN, MI 49643-9622
(231) 275-4127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704257732
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704257732
STATE OF MI
MI
Enumeration date
12/07/2018
Last updated
12/07/2018
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