Individual
RONNAE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
Mailing address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
(714) 289-3938
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
38113
CA
Other
Enumeration date
01/06/2017
Last updated
09/20/2018
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