Individual
PAYAL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 MONUMENT DR UNIT 406, FAIRFAX, VA 22033-5536
(804) 815-5209
Mailing address
12110 MONUMENT DR UNIT 406, FAIRFAX, VA 22033-5536
(804) 815-5209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001271434
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
07/18/2022
Last updated
07/18/2022
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