Individual
JESSICA L RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Mailing address
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AA093013
ME
Other
Enumeration date
02/13/2009
Last updated
04/15/2009
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