Individual
DR. JESSICA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC. DAC, MSAC
Contact information
Practice address
19820 N 7TH ST STE 135, PHOENIX, AZ 85024-1698
(480) 744-9064
Mailing address
19820 N 7TH ST STE 135, PHOENIX, AZ 85024-1698
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-010748
AZ
171100000X
Acupuncturist
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—
Other
Enumeration date
06/14/2021
Last updated
10/21/2021
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