Individual
MANUJENDRA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
DR.0052252
CO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
DR.0052252
CO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
MD443963
PA
Other
Enumeration date
10/21/2008
Last updated
05/04/2021
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