Individual
MARY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
168 MELODY LN, TONAWANDA, NY 14150-9110
(716) 837-3889
Mailing address
168 MELODY LN, TONAWANDA, NY 14150-9110
(716) 837-3889
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
355372
NY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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