Individual
KATHERINE M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2465 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 339-1080
Mailing address
1229 OSAGE CT, LAS CRUCES, NM 88005-1153
(575) 740-1221
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
65110
NM
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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