Individual
MRS. ALEXANDRA BAGGSTROM RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 SHOTWELL RD, # 108, CLAYTON, NC 27520-5597
(919) 550-0821
Mailing address
3604 BARON MONCK PASS, RALEIGH, NC 27612-7642
(908) 268-4219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06128
NC
Other
Enumeration date
01/05/2016
Last updated
08/02/2016
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