Individual
SHANITA GRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13953 HOPEWELL LN, GULFPORT, MS 39503-4686
(228) 261-9497
Mailing address
13953 HOPEWELL LN, GULFPORT, MS 39503-4686
(228) 261-9497
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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