Individual
HALEY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7213 S SIWELL RD, BYRAM, MS 39272-9776
(601) 346-9191
(601) 346-3044
Mailing address
7213 S SIWELL RD, BYRAM, MS 39272-9776
(601) 346-9191
(601) 346-3044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT5448
MS
Other
Enumeration date
10/14/2014
Last updated
10/18/2014
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