Individual
JESSICA DAWN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
3412 NAMEOKI RD, GRANITE CITY, IL 62040-3702
(618) 876-7800
Mailing address
604 W WHITE ST, MILLSTADT, IL 62260-1362
(618) 401-9591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012434
IL
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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