Individual
RAY EDWARDS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
303 FAIRFIELD AVE, TONAWANDA, NY 14223-2527
(716) 523-9997
Mailing address
303 FAIRFIELD AVE, TONAWANDA, NY 14223-2527
(716) 523-9997
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
265188-1
NY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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