Candice G Grant-Gray

NPI #1063247534 in Fairbanks, Alaska

Provider Information

NPI Number: 1063247534
Entity Type: Individual
Name: Candice G Grant-Gray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 4, 2024
Last Updated: Sep 4, 2024

Practice Location

Address: 4880 OLD AIRPORT RD
City: Fairbanks
State: Alaska
ZIP Code: 99709-4456
Phone: (907) 313-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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