Individual
TIMOTHY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2221 BALFOUR RD, SUITE A, BRENTWOOD, CA 94513-4932
(925) 389-7452
Mailing address
838 OBRIEN PL, DANVILLE, CA 94526-1989
(925) 389-7452
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52201
CA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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