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Individual

ALISHA CANDICE GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1251B SARATOGA AVE NE, WASHINGTON, DC 20018-1025
(202) 469-4699
Mailing address
4000 RUBY PLZ STE 3, CHRISTIANSTED, VI 00820-5325
(340) 772-2883

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110010690
VA.LICENSE
VA
01
032138
NY LICENSE #
NY
01
110
VI LICENSE #
VI
01
C0010100
MD.LICENSE
MD
01
PA200002274
DC.LICENSE
DC
Enumeration date
08/01/2024
Last updated
10/09/2025
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