Individual
MARIA ISIDRA N GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92-523 AKAAWA ST, KAPOLEI, HI 96707-1001
(808) 478-2153
Mailing address
92-523 AKAAWA ST, KAPOLEI, HI 96707-1001
(808) 478-2153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98684
HI
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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