Khea Gray, LVN
NPI #1497168959 in San Jacinto, California
Provider Information
- NPI Number
- 1497168959
- Entity Type
- Individual
- Name
- Khea Gray, LVN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Jun 3, 2014
- Last Updated
- Jun 3, 2014
Practice Location
- Address
- 102 W MAIN ST
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4121
- Phone
- (951) 929-2744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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