Individual
YOLANDA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2049 BARNSBORO ROAD, #D22, BLACKWOOD, NJ 08012
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05584700
NJ
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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