Individual
MRS. SUZANNE LOUISE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10509 108TH AVE SW, TACOMA, WA 98498-1502
(253) 582-8780
Mailing address
10509 108TH AVE SW, TACOMA, WA 98498-1502
(253) 582-8780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018329
WA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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