RAVEN JUDY TRACEY GRAY

LA CROSSE, WI
NPI1841832821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: WI  246638)
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
RAVEN JUDY TRACEY GRAY RN
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
RAVEN JUDY TRACEY GRAY RN
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300