Latrina M Gray
Technician in Dallas, TX. Individual provider (NPI-1).
NPI number1629703889
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1629703889
- Entity type
- Individual (NPI-1)
- Name
- Latrina M Gray
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2022
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
3102 Maple Ave Ste 235Dallas, TX 75201-1325
Phone 469-708-6077
Mailing address
2708 Eiffel DrGrand Prairie, TX 75054-6722
Phone 214-641-3764
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