Individual
MIRANDA LYNN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7842 COUNTY ROAD 2707, ALTO, TX 75925-6032
(936) 240-5245
Mailing address
PO BOX 234, WELLS, TX 75976-9010
(936) 240-5245
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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