Gray, Tez-Mia Kimberly

Gray, Tez-Mia Kimberly is an sole proprietor health care provider with primary practice located at 1100 Lime St Apt 28 , Fernandina Beach FL 32034-4417. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Gray, Tez-Mia Kimberly can be contacted via phone (904) 624-5231.

Contact Information

Primary practice address
1100 Lime St Apt 28 Fernandina Beach FL 32034-4417
Phone: (904) 624-5231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1598251795
LBN Legal business name Gray, Tez-Mia Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2018
Last updated Jul 11th, 2018 - about 7 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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