Individual
MRS. TINA KAY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
250 N HIGH ST, CHILLICOTHE, OH 45601-1625
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN210-163
OH
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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