Paul Canniff Gray Valid NPI
Individual provider · Driver · Suffolk, VA
- NPI
- 1235765124
- Type
- Individual (Type 1)
- Primary specialty
- Driver
- Specialty group
- Other Service Providers
- Taxonomy code
- 172A00000X
- License number
- T60621503 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-03-23
- Last updated
- 2020-03-23
Practice location
219 Berry Ridge Ln
Suffolk, VA 23435-3190
(757) 338-0353