Individual
MICHELLE LYNN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
5210 CENTER RD, CONNEAUT, OH 44030-9727
(440) 812-8874
Mailing address
5210 CENTER RD, CONNEAUT, OH 44030-9727
(440) 812-8874
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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