Individual
ILEXIS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 VILLAGE RD, PITTSBURGH, PA 15205-1576
(412) 961-2413
Mailing address
1810 VILLAGE RD, PITTSBURGH, PA 15205-1576
(412) 961-2413
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10063278
PA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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