Individual
HEATHER LYN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 BROADWAY, EL CAJON, CA 92021-7417
(619) 401-5424
Mailing address
966 S SUNSHINE AVE APT 13, EL CAJON, CA 92020-5949
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
619550
CA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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