Individual
RAY L WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 LAKE CREST DR, GROVE CITY, OH 43123-4895
(443) 562-3129
Mailing address
1905 LAKE CREST DR, GROVE CITY, OH 43123-4895
(443) 562-3129
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SQ73967
OH
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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