Gray, Shannon Demetris

Gray, Shannon Demetris is an sole proprietor health care provider with primary practice located at 2290 Willowbrook Ln , Perris CA 92571-3517. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Gray, Shannon Demetris can be contacted via phone (951) 796-9583.

Contact Information

Primary practice address
2290 Willowbrook Ln Perris CA 92571-3517
Phone: (951) 796-9583
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN 221534 California

Profile Details

NPI number 1316255441
LBN Legal business name Gray, Shannon Demetris
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2010
Last updated Sep 23rd, 2010 - about 14 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.

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