Individual
MELISSA D RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 LEE ST W, CHARLESTON, WV 25302-2342
(304) 344-3403
(304) 414-0157
Mailing address
114 LEE ST W, CHARLESTON, WV 25302-2342
(304) 344-3403
(304) 414-0157
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
42
WV
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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