Individual
TAMEKA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2444 SPIREA ST, JACKSONVILLE, FL 32209-2022
(904) 982-2384
Mailing address
2444 SPIREA ST, JACKSONVILLE, FL 32209-2022
(904) 982-2384
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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