NPI 1245998095

Leontra Gray

Practitioner Peer Specialist Rock Springs, WY

Practice location

Address: 2300 Foothill Blvd, Rock Springs, WY 82901-5610
Phone: (307) 352-6677

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1245998095
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2021
Record last updated: 29 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.