Individual
DANE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7474 GREENWAY CENTER DR STE 200, GREENBELT, MD 20770-3524
(240) 304-3327
(410) 609-7091
Mailing address
7474 GREENWAY CENTER DR STE 200, GREENBELT, MD 20770-3524
(240) 304-3327
(410) 609-7091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP11792
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LGP11792
—
MD
Enumeration date
08/27/2021
Last updated
08/27/2021
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