Individual
ELIAS GRAY D'ALESSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1200 E MARSHALL ST, RICHMOND, VA 23298-5049
(804) 828-3453
(804) 828-2351
Mailing address
3503 ROSEWOOD AVE, RICHMOND, VA 23221-3432
(202) 674-1763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176953
VA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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