Individual
LISA C GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 UNION RD STE B, GASTONIA, NC 28054-5590
(704) 671-2261
Mailing address
1008 UNION RD STE B, GASTONIA, NC 28054-5590
(704) 671-2261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168412
NC
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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