Individual
JANET GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 JOHN DAVIS DR, BOLTON, MS 39041-3202
(769) 798-6554
Mailing address
PO BOX 5, BOLTON, MS 39041-0005
(769) 798-6554
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1245285
MS
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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