Individual
CYNTHIA D GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 NORTHLAND BLVD, CINCINNATI, OH 45240-3116
(513) 203-5853
Mailing address
729 NORTHLAND BLVD, CINCINNATI, OH 45240-3116
(513) 203-5853
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1115057
OH
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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