Individual
LAVINNY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 LAURA LN, DALLAS, TX 75241-3739
(214) 609-3777
Mailing address
1440 LAURA LN, DALLAS, TX 75241-3739
(214) 609-3777
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
10/22/2019
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