Individual
DR. GLENNIS GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6784 VIRGINIA DR, ADDIS, LA 70710-3049
(225) 266-9319
Mailing address
6784 VIRGINIA DR, ADDIS, LA 70710-3049
(225) 266-9319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79078
LA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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