NPI 1255746293
Jovan Gray
Practice location
- Address
- 3455 W Craig Rd Suite B, N Las Vegas, NV 89032-5118
- Phone
- (702) 776-7772
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1255746293
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jun 2014
- Record last updated
- 28 Jun 2014
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.