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Individual

DR. BRENDA JULIA RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7660 EAST PARHAM RD, SUITE 205, RICHMOND, VA 23294-4309
(804) 747-1176
(804) 747-0874
Mailing address
7660 EAST PARHAM RD, SUITE 205, RICHMOND, VA 23294-4309
(804) 747-1176
(804) 747-0874

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101034404
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101034404
LIC TO PRACTICE MED IN ST
05
6034616
VA
Enumeration date
09/06/2006
Last updated
05/21/2008
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