Individual
DEANNA ASHLY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N NORMA ST, RIDGECREST, CA 93555-2575
(760) 499-7406
Mailing address
1400 N NORMA ST, RIDGECREST, CA 93555-2575
(760) 499-7406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
03/17/2025
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