Individual
DANA G GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
410 TAYLOR STREET, WEAVERVILLE, CA 96093-1229
(530) 623-5541
(530) 623-4397
Mailing address
PO BOX 1229, WEAVERVILLE, CA 96093-1229
(530) 623-5541
(530) 623-4397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356891
CA
363LP0200X
Pediatric Nurse Practitioner
356891
CA
Other
Enumeration date
10/18/2006
Last updated
09/23/2016
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