Individual
LATRINA M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 MAPLE AVE STE 235, DALLAS, TX 75201-1325
(469) 708-6077
Mailing address
2708 EIFFEL DR, GRAND PRAIRIE, TX 75054-6722
(214) 641-3764
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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