Individual
JOSHUA CLAYTON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN - CNP
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
Mailing address
PO BOX 722755, NORMAN, OK 73070-9088
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
204129
LA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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