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Contact Information

ANTONETTE P GRAY
3990 S HOWICK ST UNIT A111
MILLCREEK, UT84107-3202
 Phone: 801-781-9183
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for ANTONETTE P GRAY · (Female)

NPI # 1952091217
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2023
Last updated 05/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 2023PCAUT001039
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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