Individual
JEANNIE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4557
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4557
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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