Individual
LARRY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1358 OHIO RIVER RD, HUNTINGTON, WV 25702-7803
(304) 730-3020
Mailing address
1358 OHIO RIVER RD, HUNTINGTON, WV 25702-7803
(304) 730-3020
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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