Individual
JERMAINE L RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 WEST AVE, SAN ANTONIO, TX 78201-4009
(210) 643-4854
(210) 658-4269
Mailing address
108 BLOSSOM CT, CIBOLO, TX 78108-4227
(210) 643-4854
(210) 658-4269
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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