Individual
TERREL A GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 BLACKBIRD KNOLL CT, NORTH LAS VEGAS, NV 89084-1316
(702) 633-9196
Mailing address
PO BOX 336514, NORTH LAS VEGAS, NV 89033-6514
(702) 633-9196
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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