Jevon Wali Gray Sr.
Jevon Wali Gray Sr. is a Non-emergency Medical Transport (VAN) in LA Place, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
341 Capt G Bourgeois StLA Place, LA 70068-4717
Phone: (504) 913-4424
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X (LA) |
|---|
Record details
| NPI number | 1225785371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2022 |
| Last updated in NPPES | March 8, 2022 |
| Certification date | March 8, 2022 |
| Mailing address | 341 Capt G Bourgeois St, La Place, LA 70068-4717 |
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