Individual
LE'ANGELA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4651 NANNIE HELEN BURROUGHS AVE NE APT 108, WASHINGTON, DC 20019-3624
(804) 590-7966
Mailing address
4651 NANNIE HELEN BURROUGHS AVE NE APT 108, WASHINGTON, DC 20019-3624
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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