SearchCalifornia343900000X

Nawana Gray, OWNER/GENERAL MANAGE

NPI 1578885919 · on the registry since 2010 · sole proprietor

Practice

Address
3007 Ginkgo Ct
Stockton, CA 95212
Phone
(209) 594-9951
Fax
(209) 956-0443

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-26

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 California