Most Relevant Information
Provider Data
| NPI Number: | 1003687740 |
| Provider Name: | BRANDIE GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/11/2024 |
| Last Updated: | 01/11/2024 |
Provider Practice Location
2655 E DEER SPRINGS WAY APT 2026
NORTH LAS VEGAS
NV
890861463
Practice Location Phone/Fax
| Phone: | 9513999178 |
| Fax: |
Provider Mailing Location
2655 E DEER SPRINGS WAY APT 2026
NORTH LAS VEGAS
NV
890861463
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |