Gray, Susan Genevieve
Gray, Susan Genevieve is an sole proprietor health care provider with primary practice located at 3186 Airway Ave , Costa Mesa CA 92626-4650. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Gray, Susan Genevieve can be contacted via phone (469) 938-9987.Contact Information
Primary practice address
3186 Airway Ave
Costa Mesa CA 92626-4650
Phone: (469) 938-9987
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
NPI number | 1083306948 |
---|---|
LBN Legal business name | Gray, Susan Genevieve |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 22nd, 2023 |
Last updated | May 22nd, 2023 - about 2 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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