Search

ANTONETTE PATRICE GRAY

Individual Provider (NPI-1) Active

Home Health Aide

Provider Information

NPI Number
1952091217
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
3990 S HOWICK ST UNIT A111, MILLCREEK, UT, 841073202
Phone
(801) 781-9183

Specialties & Taxonomies

Home Health Aide Primary License: UT #2023PCAUT001039
Community Health Worker

All Addresses

LOCATION

3990 S HOWICK ST UNIT A111

MILLCREEK, UT, 841073202

(801) 781-9183

MAILING

PO BOX 65996

SALT LAKE CITY, UT, 841650996

(801) 781-9183