SearchWashington225700000X

Nathan Gray, LMP

NPI 1356742092 · on the registry since 2014 · sole proprietor

Practice

Address
11923 22nd Street Ct E
Edgewood, WA 98372
Phone
(253) 370-7105

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-12

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 Washington