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Individual
MRS. ILYA MELINA RAY
Active
Individual
MRS. ILYA MELINA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6368-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6368
WI
Other
Enumeration date
05/20/2015
Last updated
11/30/2020
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