Individual
MRS. REENA RACHQUEL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5000 WALTHER AVE, BALTIMORE, MD 21214-3018
(443) 286-6284
Mailing address
5000 WALTHER AVE, BALTIMORE, MD 21214-3018
(443) 286-6284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R217160
MD
363L00000X
Nurse Practitioner
Primary
R217160
MD
Other
Enumeration date
12/27/2020
Last updated
08/14/2021
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