Individual
BETTY JOYCE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19701 LULL ST, WINNETKA, CA 91306-2676
(818) 824-2253
Mailing address
19701 LULL ST, WINNETKA, CA 91306-2676
(818) 824-2253
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
250923
CA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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