Individual
TRCY L GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 DEER TRAIL DR, FARNHAM, VA 22460-2220
(804) 761-7392
Mailing address
PO BOX 614, MILLERS TAVERN, VA 23115-0614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001170703
VA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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