Gray, Jovan
Gray, Jovan is an individual health care provider with primary practice located at 3455 W Craig Rd Suite B, N Las Vegas NV 89032-5118. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Gray, Jovan can be contacted via phone (702) 776-7772.Contact Information
Primary practice address
3455 W Craig Rd Suite B
N Las Vegas NV 89032-5118
Phone: (702) 776-7772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1255746293 |
|---|---|
| LBN Legal business name | Gray, Jovan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2014 |
| Last updated | Jun 28th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255746293 | NPPES |
| Nevada | MEDICAID | 1811325095 |
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