Individual
BAN ELRAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 MCGILLICUDDY LN, PORTAGE, MI 49024-1783
(269) 501-8857
Mailing address
6020 MCGILLICUDDY LN, PORTAGE, MI 49024-1783
(269) 501-8857
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4401007662
MI
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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