Individual
RICHARD ALAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 ELM ST, CALISTOGA, CA 94515-1614
(707) 942-5960
Mailing address
1104 ELM ST, CALISTOGA, CA 94515-1614
(707) 942-5960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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