SearchLouisiana343900000X

Jevon Gray

NPI 1225785371 · on the registry since 2022 · sole proprietor

Practice

Address
341 Capt G Bourgeois St
La Place, LA 70068
Phone
(504) 913-4424
Organisation at this address
Gray Road Transportation Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana