Individual
DARLA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6000 S 7TH ST, PHOENIX, AZ 85042-4209
(602) 243-4800
Mailing address
1515 S EXTENSION RD, APT. 1075, MESA, AZ 85210-4973
(618) 207-1075
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP041730
AZ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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