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Individual

DR. LENI LAVERN GRAY-WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
919 W MERCURY BLVD, HAMPTON, VA 23666-4322
(757) 827-2995
(757) 827-2982
Mailing address
5308 HUNTINGTON AVE, NEWPORT NEWS, VA 23607-2020
(757) 247-1369
(757) 247-1369

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0202007281
VA

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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