Individual
JACQUIS LESHAY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
911 E 9 MILE RD, FERNDALE, MI 48220-1934
(248) 336-4000
Mailing address
18000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4020
(248) 336-4000
(248) 336-9137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008149
MI
Other
Enumeration date
03/30/2017
Last updated
12/16/2025
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