Individual
MS. DARRIELLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 736-7386
Mailing address
7217 RUNNYMEDE DR, MARRERO, LA 70072-4513
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN147428
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
03/28/2016
Last updated
05/02/2022
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