Individual
SHALANE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3874 VISCOUNT AVE #3, MEMPHIS, TN 38118
(901) 727-8684
Mailing address
3874 VISCOUNT AVE #3, MEMPHIS, TN 38118
(901) 727-8684
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
TN
3747P1801X
Personal Care Attendant
Primary
L000000027082
TN
Other
Enumeration date
11/30/2020
Last updated
12/05/2024
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