JUANITA GRAY

STATEN ISLAND, NY
NPI1174844500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  217733-1)
Enumeration Date2010-06-21
Last Update Date2010-06-21
Business Address
-- JUANITA GRAY
143 BEMENT AVE
STATEN ISLAND, NY 10310-1504
Phone number: 718-300-0684
Mailing Address
-- JUANITA GRAY
143 BEMENT AVE
STATEN ISLAND, NY 10310-1504
Phone number:
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