Individual
WENDY JO GRAYHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 MAY APPLE DR, HARRISON, AR 72601-5799
(870) 321-2971
Mailing address
3001 MAY APPLE DR, HARRISON, AR 72601-5799
(870) 321-2971
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
123456
AR
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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