Jack Gray Sample is a student in an organized health care education training program in San Francisco, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jack Gray Sample NPI is 1255064572. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4210 JUDAH ST APT 304
SAN FRANCISCO, CA
ZIP 94122-016
Phone: (714) 907-5033
The enumeration date for this NPI number is 7/5/2022 and was last updated on 7/5/2022.