Individual
MRS. JUDITH LYNN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
5500 DE SOTO ST, BURKE, VA 22015-2055
(202) 877-1000
Mailing address
5500 DE SOTO ST, BURKE, VA 22015-2055
(202) 877-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN62406
DC
Other
Enumeration date
04/03/2007
Last updated
12/11/2007
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