Individual
MS. JOANNE CELIA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34290 FORD RD, WESTLAND, MI 48185-3051
(734) 412-8800
Mailing address
29751 BRANDT CT, GARDEN CITY, MI 48135-2603
(313) 522-1059
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704197208
MI
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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