Individual
JEANA RENE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
73 BISHOPGATE DR APT 306, CINCINNATI, OH 45246-4362
(678) 663-0551
Mailing address
73 BISHOPGATE DR APT 306, CINCINNATI, OH 45246-4362
(678) 663-0551
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
CN0014181982
GA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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