Individual
DR. ANGELA DENEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2460 PRINCE WILLIAM PKWY, T-0759, WOODBRIDGE, VA 22192-4148
(703) 490-4415
(703) 490-4415
Mailing address
2460 PRINCE WILLIAM PKWY, T-0759, WOODBRIDGE, VA 22192-4148
(703) 490-4415
(703) 490-4415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207035
VA
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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