Most Relevant Information
Provider Data
| NPI Number: | 1003343898 |
| Provider Name: | LABREDA GRAY AP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2017 |
| Last Updated: | 03/08/2018 |
Provider Practice Location
24038 HIGHWAY 371
SAREPTA
LA
710713206
Practice Location Phone/Fax
| Phone: | 3182058044 |
| Fax: |
Provider Mailing Location
24038 HIGHWAY 371
SAREPTA
LA
710713206
Provider Mailing Phone/Fax
| Phone: | 3182058044 |
| Fax: |