Individual
CHUE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1829 PORTELLO WAY, LINCOLN, CA 95648-8911
(916) 346-8141
Mailing address
1829 PORTELLO WAY, LINCOLN, CA 95648-8911
(916) 346-8141
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN288222
CA
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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