Individual
MRS. COLLEEN M. GRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8227 W SWEETWATER AVE, PEORIA, AZ 85381-4936
(623) 979-2152
Mailing address
8227 W SWEETWATER AVE, PEORIA, AZ 85381-4936
(623) 979-2152
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
196
AZ
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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