Individual
TRIVERR GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
116 SHALLOW BROOK WAY, LA PLATA, MD 20646-3261
(804) 241-4379
Mailing address
116 SHALLOW BROOK WAY, LA PLATA, MD 20646-3261
(804) 241-4379
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R266401
MD
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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