Individual
MRS. ALISON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 N 126TH LN, AVONDALE, AZ 85392-6341
(623) 536-7510
Mailing address
3410 N 126TH LN, AVONDALE, AZ 85392-6341
(623) 536-7510
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
6541
AZ
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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