Individual
MS. MARY E WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NMT
Contact information
Practice address
21 OLD KINGS RD N STE 215, PALM COAST, FL 32137-8254
(386) 212-6068
Mailing address
PO BOX 352752, PALM COAST, FL 32135-2752
(386) 212-6068
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
MA27453
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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