Individual
MS. CHEVON LENIQUE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1166 ALICIA AVE, TEANECK, NJ 07666-4802
(201) 906-0059
Mailing address
1166 ALICIA AVE, TEANECK, NJ 07666-4802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR12660000
NJ
163W00000X
Registered Nurse
658041-1
NY
163W00000X
Registered Nurse
916053
TX
163W00000X
Registered Nurse
95099862
CA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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