Individual
LASHAWNDA LATIKI GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2834 FOX MOUNTAIN DR, SPRING, TX 77386-2391
(832) 794-3223
Mailing address
2834 FOX MOUNTAIN DR, SPRING, TX 77386-2391
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
310081
TX
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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